Individual
KHADIJAH HUSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 BUSTLETON AVE STE 309, PHILADELPHIA, PA 19152-1918
(484) 898-4392
Mailing address
8400 BUSTLETON AVE STE 309, PHILADELPHIA, PA 19152-1918
(484) 898-4392
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
913807
PA
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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