Individual
MS. JELISA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 OLD YORK RD, ELKINS PARK, PA 19027-3005
(267) 693-6333
Mailing address
7401 OLD YORK RD, ELKINS PARK, PA 19027-3005
(267) 693-6333
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
73943601
PA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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