Individual
FRANCE DHAITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 ADAMS AVE, PHILADELPHIA, PA 19120-2112
(267) 832-7238
Mailing address
624 ADAMS AVE, PHILADELPHIA, PA 19120-2112
(267) 832-7238
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN311799
PA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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