Individual
BAYLEE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6060 RIDGE AVE, PHILADELPHIA, PA 19128-1657
(215) 999-6060
Mailing address
4000 PRESIDENTIAL BLVD APT 223, PHILADELPHIA, PA 19131-1715
(304) 542-2554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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