Individual
DAMARIS ENID RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6002 COTTAGE ST, PHILADELPHIA, PA 19135-3617
(215) 948-9893
Mailing address
6002 COTTAGE ST, PHILADELPHIA, PA 19135-3617
(215) 948-9893
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
50303601
PA
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
01/08/2021
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