Individual
SALUNA BAIJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 POWELTON AVE APT 2, PHILADELPHIA, PA 19104-2208
(603) 275-6448
Mailing address
4113 POWELTON AVE APT 2, PHILADELPHIA, PA 19104-2208
(603) 275-6448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023840
PA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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