Individual
MR. JERMAINE MEADES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4594
(302) 562-6266
Mailing address
109 BERNICE DR, BEAR, DE 19701-2040
(302) 562-6266
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
24804
DE
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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