Individual
KASSANDRA PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
Mailing address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(315) 222-7435
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421490
NY
Other
Enumeration date
03/22/2021
Last updated
04/29/2022
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