LINCY CHACKO

PHILADELPHIA, PA
NPI1487353405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP025858)
Enumeration Date2023-02-28
Last Update Date2023-02-28
Business Address
LINCY CHACKO
2237 CONWELL AVE
PHILADELPHIA, PA 19115-2301
Phone number: 215-870-8508
Mailing Address
LINCY CHACKO
2237 CONWELL AVE
PHILADELPHIA, PA 19115-2301
Phone number: 215-870-8508