Individual
SAMERA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 VINE ST STE 108, PHILADELPHIA, PA 19107-1111
(215) 792-6884
(215) 395-8075
Mailing address
1213 VINE ST STE 108, PHILADELPHIA, PA 19107-1111
(215) 792-6884
(215) 395-8075
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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