Individual
TAMARA YACOBENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 W CLEMENTINE ST, PHILADELPHIA, PA 19132-1234
(215) 740-3026
Mailing address
2830 W CLEMENTINE ST, PHILADELPHIA, PA 19132-1234
(215) 740-3026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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