Individual
THERESA CHRISTINA DISIPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E LANCASTER AVE, DEVON, PA 19333
(610) 999-6414
Mailing address
400 E LANCASTER AVE, DEVON, PA 19333
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95003631
CA
Other
Enumeration date
01/08/2016
Last updated
06/06/2024
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