LENI S.G MAMPALLIL

MEDIA, PA
NPI1922558741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: PR  SP016853)
Enumeration Date2016-10-04
Last Update Date2018-06-07
Business Address
Mrs. LENI S.G MAMPALLIL CRNP
200 E STATE ST STE 100
MEDIA, PA 19063-3434
Phone number: 610-891-9277
Mailing Address
Mrs. LENI S.G MAMPALLIL CRNP
5201 PENNELL ROAD
ASTON, PA 19014
Phone number: 610-891-9277