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Charlena Mathis

NPI 1740798818 · on the registry since 2018 · sole proprietor

Practice

Address
1404 Disston St
Philadelphia, PA 19111
Phone
(215) 801-5530
Fax
(215) 801-5530

Registry record

Primary taxonomy
106E00000X
106E00000X
Also registered as
106S00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-17

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