Individual
NYESHA SAUNDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 W JOHNSON ST APT B3, PHILADELPHIA, PA 19144-2541
(267) 629-0473
Mailing address
259 W JOHNSON ST APT B3, PHILADELPHIA, PA 19144-2541
(267) 629-0473
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037442600001
—
PA
Enumeration date
12/02/2020
Last updated
12/02/2020
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