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Search › Pennsylvania › 374U00000X

Jereda Gullatt

NPI 1811719560 · on the registry since 2024

Practice

Address
637 W. York Street
Philadelphia, PA 19133
Phone
(215) 989-9595
Organisation at this address
Mjk Home Health Care Llc
Benevolent Home Health Care Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-24

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