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Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAKIA DAWKINS BS (CEO)
(215) 399-7342
Entity
Organization

Contact information

Practice address
2231 BRYN MAWR AVE, PHILADELPHIA, PA 19131-2508
(215) 948-9422
Mailing address
2231 BRYN MAWR AVE, PHILADELPHIA, PA 19131-2508
(215) 948-9422

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
11/17/2019
Last updated
08/08/2023
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