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Individual

KEILA RUTH PIETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5050 PARKSIDE AVE # 2, PHILADELPHIA, PA 19131-4751
(215) 444-7659
Mailing address
220 S 47TH ST APT 14, PHILADELPHIA, PA 19139-4490

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN792689
PA

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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