CRYSTAL ST. FORT

PHILADELPHIA, PA
NPI1871341073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207NS0135X Dermatology, Procedural Dermatology
(Licence: PA  SP029428)
Enumeration Date2024-05-11
Last Update Date2024-05-11
Business Address
CRYSTAL ST. FORT NP
142 S 60TH ST UNIT A
PHILADELPHIA, PA 19139-3038
Phone number: 215-495-5846
Mailing Address
CRYSTAL ST. FORT NP
142 S 60TH ST UNIT A
PHILADELPHIA, PA 19139-3038
Phone number: 215-495-5846
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