Individual
CONCHETTA D SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1543 NTH ALLISON ST., PHILADELPHIA, PA 19131
(215) 971-3787
Mailing address
1543 NTH ALLISON ST., PHILADELPHIA, PA 19131
(215) 971-3787
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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