Individual
SOPHIA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 N 22ND ST, PHILADELPHIA, PA 19132-1500
(215) 221-5299
Mailing address
3001 N 22ND ST, PHILADELPHIA, PA 19132-1500
(215) 221-5299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO212655L
PA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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