Individual
DWAYNE M TOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 ADDISON ST APT E, PHILADELPHIA, PA 19147-1353
(215) 294-0817
Mailing address
718 ADDISON ST APT E, PHILADELPHIA, PA 19147-1353
(215) 294-0817
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403026
NY
Other
Enumeration date
08/10/2010
Last updated
07/09/2020
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