Individual
MISS NAKEA HURDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JD
Contact information
Practice address
1301 WAKELING ST, PHILADELPHIA, PA 19124-2637
(267) 304-7679
Mailing address
1301 WAKELING ST, PHILADELPHIA, PA 19124-2637
(267) 304-7679
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
47153601
PA
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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