Individual
DR. ITZEL VANESSA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6601 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2417
(215) 338-6601
Mailing address
6601 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2417
(215) 338-6601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04417100
NJ
Other
Enumeration date
01/09/2025
Last updated
02/04/2025
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