TANIQUA BROCKINGTON

PHILADELPHIA, PA
NPI1619686821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2022-11-16
Last Update Date2022-11-16
Business Address
TANIQUA BROCKINGTON
5936 CHANCELLOR ST
PHILADELPHIA, PA 19139-3826
Phone number: 267-320-0045
Mailing Address
TANIQUA BROCKINGTON
5936 CHANCELLOR ST
PHILADELPHIA, PA 19139-3826
Phone number: 267-320-0045