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Individual

JULISSA AGUSTINA KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
626 GREENE CT, FOUNTAIN HILL, PA 18015-4424
(917) 755-9665
Mailing address
626 GREENE CT, FOUNTAIN HILL, PA 18015-4424
(917) 755-9665

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
59203601
PA

Other

Enumeration date
02/13/2023
Last updated
02/13/2023
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