Individual
CORETHA SMITH-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER PUBLIC HEALTH
Contact information
Practice address
6603 SOUDER ST, PHILADELPHIA, PA 19149-2207
(215) 280-0867
Mailing address
6416 LAWNTON AVE, PHILADELPHIA, PA 19126-3742
(215) 280-0867
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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