Individual
NIKIA PATRICE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 N ROBINSON ST, PHILADELPHIA, PA 19151-4245
(215) 594-5133
Mailing address
1511 N ROBINSON ST, PHILADELPHIA, PA 19151-4245
(215) 594-5133
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/14/2022
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