Individual
MS. TAMARA CHANDA JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
8220 CEDARBROOK AVE, PHILADELPHIA, PA 19150-1204
(215) 242-3314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN101524L
PA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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