Individual
NAKIA STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 ZEPHYR AVE, PITTSBURGH, PA 15204-1844
(412) 626-9421
Mailing address
3025 ZEPHYR AVE, PITTSBURGH, PA 15204-1844
(412) 626-9421
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
57193601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57193601
PA. DEPARTMENT OF HEALTH
PA
Enumeration date
06/15/2021
Last updated
06/15/2021
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