Individual
MS. ALLA A DODATKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 GRANT AVE, PHILADELPHIA, PA 19115-3160
(215) 464-3838
(215) 464-3899
Mailing address
9132 OLD NEWTOWN RD APT B8, PHILADELPHIA, PA 19115-4917
(215) 677-4559
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
587631-1
NY
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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