TYNAE DOMINIQUE KEITH

PHILADELPHIA, PA
NPI1699252536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: PA  37183601)
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
TYNAE DOMINIQUE KEITH
5814 PINE ST
PHILADELPHIA, PA 19143-1218
Phone number: 267-504-2464
Mailing Address
TYNAE DOMINIQUE KEITH
5814 PINE ST
PHILADELPHIA, PA 19143-1218
Phone number: 267-504-2464
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