Individual
MRS. JENNELL MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
639 PIERCE ST, PHILADELPHIA, PA 19148-1719
(215) 939-2623
Mailing address
639 PIERCE ST, PHILADELPHIA, PA 19148-1719
(215) 939-2623
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
PA
Other
Enumeration date
02/29/2024
Last updated
03/11/2024
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