Individual
GRACE MIRIAM AMADIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(267) 772-7350
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(267) 772-7350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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