Individual
DANYELLE ALSTON-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 FLANDERS RD, PHILADELPHIA, PA 19151-3011
(267) 734-4098
Mailing address
915 FLANDERS RD, PHILADELPHIA, PA 19151-3011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TGPN030948
PA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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