Most Relevant Information
Provider Data
| NPI Number: | 1003661455 |
| Provider Name: | LOUIS DO DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2024 |
| Last Updated: | 04/22/2024 |
Provider Practice Location
7800C STENTON AVE APT 107
PHILADELPHIA
PA
191183021
Practice Location Phone/Fax
| Phone: | 4044512850 |
| Fax: |
Provider Mailing Location
7800C STENTON AVE
PHILADELPHIA
PA
191183029
Provider Mailing Phone/Fax
| Phone: | 4044512850 |
| Fax: |