PONMALI LE

PHILADELPHIA, PA
NPI1831777465
Former NameJAI PONMALI PHOTAVATH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0210X Pediatrics, Pediatric Nephrology
(Licence: PA  MT230885)
Enumeration Date2021-04-02
Last Update Date2024-07-07
Business Address
PONMALI LE
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-2449
Mailing Address
PONMALI LE
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-2449
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