Tynae Dominique Keith

NPI # 

Practice Address:

5814 Pine St

Philadelphia, PA, 19143-1218

Practice Phone:

267-504-2464

Practice Fax:

267-292-4893

License Number:

37183601

License State:

PA

Taxonomy Grouping:

Nursing Service Related Providers

Taxonomy Classification:

Home Health Aide

Taxonomy Code:

374U00000X

Updated by NPPES on 7/24/2018. You can view the original data set for NPI # 1699252536 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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