Individual
HAYLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 S SAINT BERNARD ST, PHILADELPHIA, PA 19143-3308
(215) 281-8110
Mailing address
819 S SAINT BERNARD ST, PHILADELPHIA, PA 19143-3308
(215) 281-8110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30522300
PA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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