Individual
DAAIMAH JENNELL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 N 10TH ST, PHILADELPHIA, PA 19123-1959
(267) 584-2322
Mailing address
702 N 10TH ST, PHILADELPHIA, PA 19123-1959
(267) 584-2322
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
PA
332U00000X
Home Delivered Meals
—
PA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
09/14/2021
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