Individual
KERITZA JOSEPH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6015 ROSS ST, PHILADELPHIA, PA 19144-1134
(267) 971-2333
Mailing address
6015 ROSS ST, PHILADELPHIA, PA 19144-1134
(267) 971-2333
Taxonomy
Speciality
Code
Description
License number
State
331L00000X
Blood Bank
Primary
168482
PA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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