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Individual

DANIELLE COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 WASHINGTON LN STE 304, JENKINTOWN, PA 19046-3148
(215) 268-7862
(215) 632-8289
Mailing address
501 WASHINGTON LN STE 304, JENKINTOWN, PA 19046-3148
(215) 268-7862
(215) 632-8289

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
37723601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1035668010001
PA
Enumeration date
03/13/2019
Last updated
03/13/2019
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