Individual
ZEELY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(267) 243-2070
Mailing address
3954 N SMEDLEY ST, PHILADELPHIA, PA 19140-3421
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
03/17/2018
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