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Individual

GENA Y CHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1444 S BROAD ST REAR, PHILADELPHIA, PA 19146-4808
(267) 861-0354
Mailing address
1444 S BROAD ST REAR, PHILADELPHIA, PA 19146-4808
(267) 861-0354

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
71013601
PA

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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