Individual
KRISTIN MALENOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3143
(484) 337-3000
Mailing address
8201 HENRY AVE # APYU01, PHILADELPHIA, PA 19128-2983
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
YM012564
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26858628
DRIVER'S LICENSE
PA
Enumeration date
11/23/2018
Last updated
11/23/2018
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