Individual
DESIREE BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 CARVER ST, PHILADELPHIA, PA 19124-1025
(267) 591-6105
Mailing address
921 CARVER ST, PHILADELPHIA, PA 19124-1025
(267) 591-6105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30883601
PA
Other
Enumeration date
08/17/2016
Last updated
12/14/2020
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