Individual
SHARON MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2135 WALNUT ST, PHILADELPHIA, PA 19103-4442
(215) 564-1914
Mailing address
8745 GILLESPIE ST, PHILADELPHIA, PA 19136-2129
(215) 582-5560
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CM013922L
PA
Other
Enumeration date
06/16/2020
Last updated
06/18/2020
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