Individual
SHINIKA TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 ARLINGTON ST, PHILADELPHIA, PA 19131-3117
(267) 241-1988
Mailing address
5608 ARLINGTON ST, PHILADELPHIA, PA 19131-3117
(267) 241-1988
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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