Individual
IVY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
6204 CARDIFF ST, PHILA, PA 19149-3011
(267) 275-9465
Mailing address
6204 CARDIFF ST, PHILA, PA 19149-3011
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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