Individual
MATENNE CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2622 S SHIELDS ST, PHILADELPHIA, PA 19142-2714
(267) 777-1360
Mailing address
2622 S SHIELDS ST, PHILADELPHIA, PA 19142-2714
(267) 777-1360
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
77193601
PA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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