Individual
DIEYNABA DIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5214 BALTIMORE AVE, PHILADELPHIA, PA 19143-3240
(215) 476-1724
Mailing address
5040 CITY LINE AVE, PHILADELPHIA, PA 19131-1435
(215) 877-2116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP458525
PA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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