Individual
JEREDA GULLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
637 W. YORK STREET, PHILADELPHIA, PA 19133-2146
(215) 989-9595
Mailing address
637 W. YORK STREET, PHILADELPHIA, PA 19133-2146
(215) 989-9595
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
81273601
PA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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