Individual
ANTOINE MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
3043 W STILES ST, PHILADELPHIA, PA 19121-4410
(704) 502-7412
Mailing address
1058 CHALK HILL LN, CHARLOTTE, NC 28214-0005
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
09/30/2022
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