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Individual

KHADIJAH HAMIDULLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(888) 855-3019
Mailing address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(888) 855-3019

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN687915
PA
163WH0200X
Home Health Registered Nurse
Primary
RN687915
PA
163WI0500X
Infusion Therapy Registered Nurse
RN687915
PA
164W00000X
Licensed Practical Nurse
PN319971
PA
172A00000X
Driver
251B00000X
Case Management Agency
Primary
PA
372600000X
Adult Companion
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
05/07/2024
Last updated
05/02/2026
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