Individual
CANDY THERESA TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
2555 WELSH RD APT 412, PHILADELPHIA, PA 19114-3216
(267) 752-4118
Mailing address
2555 WELSH RD APT 412, PHILADELPHIA, PA 19114-3216
(267) 752-4118
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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