Search › Pennsylvania › 164W00000X
Line St-Vil
NPI 1750971263 · on the registry since 2021 · sole proprietor
Practice
- Address
- 520 Robbins St
Philadelphia, PA 19111 - Phone
- (267) 770-8542
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-20
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