| NPI | 1477316206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LULIT TADESSE Owner 215-519-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-06-24 |