Individual
TONYA MILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 TACKAWANNA ST, PHILADELPHIA, PA 19124-3307
(215) 530-6306
Mailing address
4611 TACKAWANNA ST, PHILADELPHIA, PA 19124-3307
(215) 530-6306
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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