NPI 1558982124

Eka Maisuradze

Practitioner Meals Provider Philadelphia, PA

Practice location

Address: 8336 Bustleton Ave, Philadelphia, PA 19152-1909
Phone: (215) 742-9811

Registered specialties

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

Other Meals providers in Pennsylvania →

Registry record

NPI: 1558982124
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2020
Record last updated: 5 May 2020

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.