Provider Demographics
NPI:1700649977
Name:DAWSON-RANSOM, AMINAH
Entity Type:Individual
Prefix:
First Name:AMINAH
Middle Name:
Last Name:DAWSON-RANSOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8312 FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19150-2013
Mailing Address - Country:US
Mailing Address - Phone:215-774-7559
Mailing Address - Fax:
Practice Address - Street 1:8312 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19150-2013
Practice Address - Country:US
Practice Address - Phone:215-774-7559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA59053601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care