Individual
SADE YOLANDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 N GARNET ST, PHILADELPHIA, PA 19132-3725
(267) 234-3333
Mailing address
3106 N SPANGLER ST, PHILADELPHIA, PA 19132-1032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO-276302
PA
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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