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Individual

RAENITA JANAY ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3600 MARKET ST # 6THF, PHILADELPHIA, PA 19104-3284
(215) 586-7600
(215) 386-2604
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-3311

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103688798001
PA
Enumeration date
06/08/2020
Last updated
06/08/2020
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