Individual
MS. TOSHA BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
747 N 40TH ST, PHILADELPHIA, PA 19104-1671
(215) 240-9967
Mailing address
747 N 40TH ST, PHILADELPHIA, PA 19104-1671
(215) 240-9967
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN269776
PA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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