NPI 1265917702

Alfonzo Powell

Practitioner Homemaker Philadelphia, PA

Practice location

Address: 1905 W Susquehanna Ave, Philadelphia, PA 19121-1547
Phone: (267) 231-6586
Mailing address: PO Box 50562, Philadelphia, PA 19132-6562

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 33813601 (PA)

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Registry record

NPI: 1265917702
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2018
Record last updated: 1 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.