Individual
DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 E CORNWALL ST, PHILADELPHIA, PA 19134-1824
(267) 283-8752
Mailing address
638 E CORNWALL ST, PHILADELPHIA, PA 19134-1824
(267) 283-8752
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3406MD449161
HEALTH PARTNERS
PA
Enumeration date
06/11/2014
Last updated
06/11/2014
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