Healthcare Provider Details

I. General information

NPI: 1134037641
Provider Name (Legal Business Name): MISS LITEFIA ARNITA MARROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3322 N BROAD ST
PHILA PA
19140-5185
US

IV. Provider business mailing address

2616 W SOMERSET ST
PHILADELPHIA PA
19132-2519
US

V. Phone/Fax

Practice location:
  • Phone: 267-664-5714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: