Individual
BIENNE BASTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3222 W CHELTENHAM AVE STE B-1, PHILADELPHIA, PA 19150-1003
(484) 468-1493
(888) 910-7765
Mailing address
3222 W CHELTENHAM AVE, PHILADELPHIA, PA 19150-1003
(484) 468-1493
(888) 910-7765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24693601
PA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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