Matraku, Sara Licenji
Matraku, Sara Licenji is an individual health care provider with primary practice located at 3915 Blake Rd , Huntingdon Valley PA 19006-2318. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Matraku, Sara Licenji can be contacted via phone (267) 752-3175.Contact Information
Primary practice address
3915 Blake Rd
Huntingdon Valley PA 19006-2318
Phone: (267) 752-3175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1356225890 |
|---|---|
| LBN Legal business name | Matraku, Sara Licenji |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2025 |
| Last updated | Aug 5th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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