ALFONZO POWELL

PHILADELPHIA, PA
NPI1265917702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
(Licence: PA  33813601)
Enumeration Date2018-10-01
Last Update Date2018-10-01
Business Address
ALFONZO POWELL
1905 W SUSQUEHANNA AVE
PHILADELPHIA, PA 19121-1547
Phone number: 267-231-6586
Mailing Address
ALFONZO POWELL
PO BOX 50562
PHILADELPHIA, PA 19132-6562
Phone number: 267-231-6586