Individual
MONIKA KARIUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 JANNEY AVE, BROOKHAVEN, PA 19015-2709
(484) 467-1960
Mailing address
3416 JANNEY AVE, BROOKHAVEN, PA 19015-2709
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XDJ91328713G
—
CA
Enumeration date
05/14/2018
Last updated
05/14/2018
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