Graduated: 2022
NPI: 1568199776
Practice Locations (2)
VISTA MEDICAL SERVICES INC
1001 WALLACE ST, TUCKER NURSING HOME
PHILADELPHIA, PA 191232599
2152351600
EQUILIBRIA MENTAL HEALTH SERVICES
525 S 4TH ST, SUITE 471
PHILADELPHIA, PA 191471582
2678613685
Source: CMS National Downloadable File, September 2026.