KISHA MONIQUE BLACKMON

PHILADELPHIA, PA
NPI1285126862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: PA  30028491)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
KISHA MONIQUE BLACKMON
5730 WOODCREST AVE
PHILADELPHIA, PA 19131-2225
Phone number: 267-644-9244
Mailing Address
KISHA MONIQUE BLACKMON
5730 WOODCREST AVE
PHILADELPHIA, PA 19131-2225
Phone number: 267-644-9244