NAFISA SADE OUTLAW

PHILADELPHIA, PA
NPI1760127773
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: PA  739258)
Enumeration Date2022-05-03
Last Update Date2022-05-03
Business Address
NAFISA SADE OUTLAW
5804 N MARSHALL ST
PHILADELPHIA, PA 19120-1315
Phone number: 268-368-3955
Mailing Address
NAFISA SADE OUTLAW
5804 N MARSHALL ST
PHILADELPHIA, PA 19120-1315
Phone number: 268-368-3955
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