Individual
JOSE ANTONIO WILLIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4993 LINDEN AVE, PHILADELPHIA, PA 19114-4029
(215) 253-2147
Mailing address
4993 LINDEN AVE, PHILADELPHIA, PA 19114-4029
(215) 253-2147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013986
PA
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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