Henrietta D Mtshali PA-C

NPI 1043493901 - Physician Assistant - 363AM0700X

NPI Details
NPI 1043493901
Gender Female
Enumeration Date 12/13/2007
Last Updated 07/19/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
2100 W GIRARD AVE
PHILADELPHIA PA, 19130-1400, US
Phone (215) 685-0800
Fax (215) 865-0846
Business Location
PO BOX 820933
PHILADELPHIA PA, 19182-0933, US
Phone (215) 926-9010
Fax (215) 226-8285
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA003230L
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According to our database, Henrietta D Mtshali PA-C NPI is 1043493901, taxonomy code is 363AM0700X and license number is MA003230L, license state is located at Pennsylvania. Henrietta D Mtshali PA-C physically located at 2100 W Girard Ave, Philadelphia PA, 19130-1400. NPI Number Henrietta D Mtshali PA-C has the Individual type.

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1043493901 NPI number is provided on an as is basis without warranty of any kind. 1043493901 is maintained by the National Plan & Provider Enumeration System. The contents of Henrietta D Mtshali PA-C are for informational purposes only.