LIJU CHACKO

PHILADELPHIA, PA
NPI1780948638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2278G1100X Respiratory Therapist, Certified, General Care
(Licence: PA  YM013705)
Enumeration Date2012-06-26
Last Update Date2012-06-26
Business Address
-- LIJU CHACKO CRT
313 PAR DR
PHILADELPHIA, PA 19115-1018
Phone number: 267-549-1171
Mailing Address
-- LIJU CHACKO CRT
313 PAR DR
PHILADELPHIA, PA 19115-1018
Phone number: 267-549-1171
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