Individual
LISA MICHELLE SODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 E COMLY ST, PHILADELPHIA, PA 19111-6127
(215) 303-3399
Mailing address
1021 E COMLY ST, PHILADELPHIA, PA 19111-6127
(215) 303-3399
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
PA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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