Individual
SUMAIYAH A MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4442 RIDGE AVE APT 213, PHILADELPHIA, PA 19129-1856
(215) 485-1609
Mailing address
45 E CITY AVE UNIT 643, BALA CYNWYD, PA 19004-2421
(215) 485-1609
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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