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Individual

MARTINA MOBLEY-ALTICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5650 SPRAGUE ST, PHILADELPHIA, PA 19138-1744
(215) 951-5689
Mailing address
402 W WALNUT LN APT 3, PHILADELPHIA, PA 19144-3750

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/23/2017
Last updated
10/23/2017
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