Individual
MAURISA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 I ST, PHILADELPHIA, PA 19134-1442
(215) 900-0404
Mailing address
6214 MASTER ST, PHILADELPHIA, PA 19151-4117
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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