EKA MAISURADZE
Meals
Active
Individual
NPI: 1558982124
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Meals | 174200000X | Yes | - |
Frequently Asked Questions
NPI 1558982124 is the National Provider Identifier for EKA MAISURADZE, a Meals provider located in Philadelphia, PA. This NPI was enumerated on May 5, 2020.
EKA MAISURADZE practices at 8336 BUSTLETON AVE, Philadelphia, PA 19152.
Quick Facts
- NPI
- 1558982124
- Type
- Individual
- Enumerated
- May 5, 2020
- Last Updated
- May 5, 2020
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