Individual
KA-MEACH PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6103 W THOMPSON ST STE A, PHILADELPHIA, PA 19151-4438
(215) 474-3000
(215) 476-0100
Mailing address
6103 W THOMPSON ST STE A, PHILADELPHIA, PA 19151-4438
(215) 474-3000
(215) 476-0100
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
31023601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031466470001
—
PA
Enumeration date
12/17/2018
Last updated
12/17/2018
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