Individual
SHAKURA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3918 N 8TH ST, PHILADELPHIA, PA 19140-3208
(267) 304-9677
Mailing address
3918 NTH 8TH ST, PHILADELPHIA, PA 19140
(267) 304-9677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26053601
PA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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