Individual
GLORIMAR DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 EMERALD ST, PHILADELPHIA, PA 19134-2550
(215) 606-8666
(215) 228-8871
Mailing address
3315 EMERALD ST, PHILADELPHIA, PA 19134-2550
(215) 606-8666
(215) 228-8871
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036276940001
—
PA
Enumeration date
08/19/2019
Last updated
08/19/2019
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