| NPI | 1912543109 |
|---|---|
| Doing Business As | PHILLY CITY FOOT DOC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HOANG NGUYEN President 817-726-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2021-12-28 |