Individual
KEENYA EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1730 S 24TH ST, PHILADELPHIA, PA 19145-1804
(484) 795-9281
Mailing address
336 SHADELAND AVE, DREXEL HILL, PA 19026-2909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN590248
PA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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