Individual
MICHELLE BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1429 W GIRARD AVE, PHILADELPHIA, PA 19130-1625
(267) 687-1897
Mailing address
1429 W GIRARD AVE, PHILADELPHIA, PA 19130-1625
(267) 687-1897
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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