Individual
JAQUELINE CARTAGENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4595 PENHURST ST, PHILADELPHIA, PA 19124-3825
(215) 281-8458
Mailing address
4595 PENHURST ST, PHILADELPHIA, PA 19124-3825
(215) 281-8458
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
66973601
PA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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