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Eka Maisuradze
NPI 1558982124 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8336 Bustleton Ave
Philadelphia, PA 19152 - Phone
- (215) 742-9811
Additional practice sites
- 8336 Bustleton Ave, Philadelphia, PA
Registry record
- Primary taxonomy
- Meals Provider
174200000X
- Sex
- Female
- Record last updated
- 2020-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania