Individual
MS. STEPHANI WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6142 N 17TH ST, PHILADELPHIA, PA 19141
(215) 278-0004
Mailing address
6142 N 17TH ST, PHILADELPHIA, PA 19141
(267) 339-2534
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
PA
Other
Enumeration date
12/15/2020
Last updated
12/22/2020
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