Individual
KIMORA LI JASILLA BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 BRIDGE ST, PHILADELPHIA, PA 19124-1820
(267) 702-7602
Mailing address
1146 BRIDGE ST, PHILADELPHIA, PA 19124-1820
(267) 702-7602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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