Individual
MS. EVELYN STEFANOPOULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W. SOMERSET ST, ESTUERZO PROGRAM, PHILADELPHIA, PA 19133
(215) 763-8870
(215) 223-2936
Mailing address
216 W. SOMERSET ST, ESTUERZO PROGRAM, PHILADELPHIA, PA 19133
(215) 763-8870
(215) 223-2936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007519040001
—
PA
Enumeration date
12/04/2019
Last updated
12/04/2019
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