Individual
JAMILA TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2411 N 11TH ST APT 1003, PHILADELPHIA, PA 19133-1423
(267) 265-9390
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN290908
PA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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