STEPHEN SMITH

PHILADELPHIA, PA
NPI1942600044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  2255A2300X)
Enumeration Date2014-08-26
Last Update Date2014-08-26
Business Address
-- STEPHEN SMITH
6504 WALNUT PARK DR
PHILADELPHIA, PA 19120-1032
Phone number: 267-283-5571
Mailing Address
-- STEPHEN SMITH
6504 WALNUT PARK DR
PHILADELPHIA, PA 19120-1032
Phone number: 267-283-5571