Individual
FAYA BAYISSA ADUGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 S 78TH ST, PHILADELPHIA, PA 19153-1218
(215) 909-3948
Mailing address
2502 S 78TH ST, PHILADELPHIA, PA 19153-1218
(215) 909-3948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP029616
PA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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