ROSE KOFFI BOURGOIN

PLYMOUTH MEETING, PA
NPI1285835801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: DE  L2-0009474)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- ROSE KOFFI BOURGOIN LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- ROSE KOFFI BOURGOIN LPN
5907 BYRON CT
NEWARK, DE 19702-3052
Phone number: