Individual
ANGEL MARY ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-SGA EVANS, PHILADELPHIA, PA 19104
(215) 573-2588
Mailing address
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-SGA EVANS, PHILADELPHIA, PA 19104
(215) 573-2588
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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