SUSSY DAYANA OBANDO LARA

PHILADELPHIA, PA
NPI1770151086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT223906)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
SUSSY DAYANA OBANDO LARA MD
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
Mailing Address
SUSSY DAYANA OBANDO LARA MD
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161