Individual
KIAIRA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 825-3900
Mailing address
254 N 52ND ST APT 2, PHILADELPHIA, PA 19139-1501
(215) 253-2193
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313346
PA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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