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Individual

MRS. MADIYAH LAMBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
502 GERHARD ST, PHILADELPHIA, PA 19128-1669
(215) 475-1375
Mailing address
502 GERHARD ST, PHILADELPHIA, PA 19128-1669
(215) 475-1375

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
52403601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104020908
PA
Enumeration date
07/24/2022
Last updated
07/24/2022
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