SIA GBONGBOR

PLYMOUTH MEETING, PA
NPI1588856447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  LP35758)
Enumeration Date2007-08-15
Last Update Date2007-08-15
Business Address
-- SIA GBONGBOR LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- SIA GBONGBOR LPN
6700 BELCREST RD APT. 1025
HYATTSVILLE, MD 20782-1398
Phone number: