Individual
JAHIYAH GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 ARCH ST STE 1700, PHILADELPHIA, PA 19104-7327
(215) 645-4253
Mailing address
2340 SHARSWOOD ST, PHILADELPHIA, PA 19121-3806
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
41693601
PA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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