Nafisa Sade Outlaw
NPI #1760127773 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1760127773
- Entity Type
- Individual
- Name
- Nafisa Sade Outlaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- May 3, 2022
- Last Updated
- May 3, 2022
Practice Location
- Address
- 5804 N MARSHALL ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19120-1315
- Phone
- (268) 368-3955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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