Individual
DANEYAH BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 W GODFREY AVE, PHILADELPHIA, PA 19138-3035
(267) 582-5736
Mailing address
2015 W GODFREY AVE, PHILADELPHIA, PA 19138-3035
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN310162
PA
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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