Individual
JOB R URENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
537 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2328
(215) 291-9500
(215) 291-1880
Mailing address
537 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2328
(215) 291-9500
(215) 291-1880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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