Katouchca Michel

NPI 1710113295 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1710113295
Gender Female
Enumeration Date 06/10/2009
Last Updated 06/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6445 RISING SUN AVE
PHILA PA, 19111-5228, US
Phone (215) 742-3247
Fax
Business Location
6445 RISING SUN AVE
PHILA PA, 19111-5228, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Pennsylvania
License Number PN278361
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According to our database, Katouchca Michel NPI is 1710113295, taxonomy code is 164W00000X and license number is PN278361, license state is located at Pennsylvania. Katouchca Michel physically located at 6445 Rising Sun Ave, Phila PA, 19111-5228. NPI Number Katouchca Michel has the Individual type.

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1710113295 NPI number is provided on an as is basis without warranty of any kind. 1710113295 is maintained by the National Plan & Provider Enumeration System. The contents of Katouchca Michel are for informational purposes only.