Individual
KIYAH BROWN-SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 N BROAD ST, PHILADELPHIA, PA 19141-1931
(215) 924-9645
Mailing address
2911 N MADISON ST, WILMINGTON, DE 19802-3073
(215) 688-8349
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/28/2023
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