Individual
MAEYONNI WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 S 55TH ST, PHILADELPHIA, PA 19143-4907
(267) 399-8099
Mailing address
2290 W OREGON AVE # 1026, PHILADELPHIA, PA 19145-4197
(215) 609-2907
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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