Individual provider · Type 1 NPI
Sade Yolanda Davis
Specialist · Philadelphia, PA
NPI number
1174156012
Active
Practice location
2414 N Garnet St
Philadelphia, PA 19132-3725
Mailing address
3106 N Spangler St
Philadelphia, PA 19132-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CO-276302 (PA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1174156012
Sade Yolanda Davis's National Provider Identifier is 1174156012, issued on Feb 19, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 19, 2020.