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Individual

COLBY BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3814 BERKLEY AVE, DREXEL HILL, PA 19026-2804
(267) 367-8756
Mailing address
3814 BERKLEY AVE, DREXEL HILL, PA 19026-2804

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
57513601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
853441751
PA
Enumeration date
07/15/2021
Last updated
07/15/2021
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