Individual
TISHEEM SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1831 NAPFLE AVE, PHILADELPHIA, PA 19111-3422
(215) 240-2136
Mailing address
1831 NAPFLE AVE, PHILADELPHIA, PA 19111-3422
(215) 240-2136
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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