Individual
WALEA TETEE KOFA-PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7748 JACKSON ST, PHILADELPHIA, PA 19136-3252
(267) 235-5270
Mailing address
7748 JACKSON ST, PHILADELPHIA, PA 19136-3252
(267) 235-5270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN613264
PA
163WH0200X
Home Health Registered Nurse
Primary
RN613264
PA
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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