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Individual

ATIA REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 465-2603
(215) 456-2729
Mailing address
1315 WINDRIM AVENUE, PHILADELPHIA, PA 19141
(215) 465-2603
(215) 456-2729

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN281174
PA

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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