Individual
KAMIA I SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 BLYTHE AVE, DREXEL HILL, PA 19026-5214
(215) 301-4206
Mailing address
410 BLYTHE AVE, DREXEL HILL, PA 19026-5214
(215) 301-4206
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN710360
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP030890
PA
Other
Enumeration date
09/30/2024
Last updated
10/11/2024
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