Individual
LATIFAH FATIMA TRAVIS-BEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-3311
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-3311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036888220001
—
PA
Enumeration date
11/06/2019
Last updated
11/30/2020
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