Individual
ALICIA JENET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3083
Mailing address
1919 CHRISTIAN ST APT 2, PHILADELPHIA, PA 19146-2090
(215) 317-4348
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
SP030216
PA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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