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Individual

KATRIYAH YISRAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
125 W 18TH ST, WILMINGTON, DE 19802-4835
(302) 650-2021
Mailing address
125 W 18TH ST, WILMINGTON, DE 19802-4835
(302) 650-2021

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0040132
DE
163WP0200X
Pediatric Registered Nurse
L1-0040132
DE
320700000X
Physical Disabilities Residential Treatment Facility
2025701170
DE

Other

Enumeration date
01/29/2025
Last updated
06/06/2025
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