Tia Upchurch
NPI #1740780022 in Wyncote, Pennsylvania
Provider Information
- NPI Number
- 1740780022
- Entity Type
- Individual
- Name
- Tia Upchurch
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 13, 2018
- Last Updated
- Feb 13, 2018
Practice Location
- Address
- 8460 LIMEKILN PIKE APT 804
- City
- Wyncote
- State
- Pennsylvania
- ZIP Code
- 19095-2609
- Phone
- (215) 847-4003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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