Individual
CHRIS ANN DANEISHA WITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
6323 TROTTER ST, PHILADELPHIA, PA 19111-5841
(267) 361-8076
Mailing address
6323 TROTTER ST, PHILADELPHIA, PA 19111-5841
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN319975
PA
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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