Individual
MS. KIONNA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 FORD RD, 104E, PHILADELPHIA, PA 19131-2039
(215) 921-6624
(215) 921-6715
Mailing address
3979 LANKENAU AVE, APT 1, PHILADELPHIA, PA 19131-2808
(610) 324-7807
(215) 921-6715
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
28383601
PA
372600000X
Adult Companion
28383601
PA
374U00000X
Home Health Aide
28383601
PA
376J00000X
Homemaker
28383601
PA
376K00000X
Nurse's Aide
Primary
28383601
PA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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