Individual
KASEIM EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3908 MONTELLA CIR, COLLEGEVILLE, PA 19426-1217
(215) 696-2300
Mailing address
3908 MONTELLA CIR, COLLEGEVILLE, PA 19426-1217
(215) 696-2300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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