Individual
TAMICA MARIE GULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
1235 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3206
(215) 769-3561
(215) 769-3860
Mailing address
1235 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3206
(215) 769-3561
(215) 769-3860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102486994001
—
PA
Enumeration date
03/30/2021
Last updated
08/31/2021
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