Individual
ALICE VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(215) 871-6100
Mailing address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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