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Individual

RUGIATU E WAITAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 COTTMAN AVE APT B11512, PHILADELPHIA, PA 19111-3056
(215) 436-0554
(267) 339-6111
Mailing address
800 COTTMAN AVE APT B11512, PHILADELPHIA, PA 19111-3056
(215) 436-0554
(267) 339-6111

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
39613601
PA

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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