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Individual

SOPHIA TANESHA PORTER-BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5944 WEBSTER ST, PHILADELPHIA, PA 19143-2414
(484) 802-9424
Mailing address
5944 WEBSTER ST, PHILADELPHIA, PA 19143-2414
(484) 802-9424

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PA

Other

Enumeration date
12/23/2020
Last updated
12/23/2020
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