Dejesus, Glorimar

Dejesus, Glorimar is an individual health care provider with primary practice located at 3315 Emerald St , Philadelphia PA 19134-2550. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Dejesus, Glorimar can be contacted via phone (215) 606-8666.

Contact Information

Primary practice address
3315 Emerald St Philadelphia PA 19134-2550
Phone: (215) 606-8666
Fax: (215) 228-8871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1952958662
LBN Legal business name Dejesus, Glorimar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2019
Last updated Aug 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952958662 NPPES
Pennsylvania MEDICAID 1036276940001

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