Individual
BRISA MALIA LOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4428 PEARSON AVE, PHILADELPHIA, PA 19114-3746
(610) 908-4172
Mailing address
4428 PEARSON AVE, PHILADELPHIA, PA 19114-3746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028980
PA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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