Individual
LASHAY NADJAH WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
527 TIMBERLAKE RD, UPPER DARBY, PA 19082-5001
(267) 333-5415
Mailing address
527 TIMBERLAKE RD, UPPER DARBY, PA 19082-5001
(267) 333-5415
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
PA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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