Organization
SHI SHI COLLECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANEISHA CUNNINGHAM (OWNER)
(215) 908-1234
Entity
Organization
Contact information
Practice address
6128 W JEFFERSON ST, PHILADELPHIA, PA 19151-3902
(215) 908-1234
(215) 650-8995
Mailing address
6128 W JEFFERSON ST, PHILADELPHIA, PA 19151-3902
(215) 908-1234
(215) 650-8995
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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