Individual
YEFIM DADASHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1537 N 33RD ST APT A, PHILADELPHIA, PA 19121-4068
(718) 200-7775
Mailing address
1537 N 33RD ST APT A, PHILADELPHIA, PA 19121-4068
(718) 200-7775
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
78913601
PA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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