Individual
MRS. ANISHA STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
152 ROSEMAR ST, PHILADELPHIA, PA 19120-1943
(215) 778-9726
Mailing address
152 ROSEMAR ST, PHILADELPHIA, PA 19120-1943
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN307149
PA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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