Nafisa Sade Outlaw Valid NPI
Individual provider · Military Health Care Provider · Philadelphia, PA
- NPI
- 1760127773
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- License number
- 739258 (PA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-05-03
- Last updated
- 2022-05-03
Practice location
5804 N Marshall St
Philadelphia, PA 19120-1315
(268) 368-3955