Individual
GUERLINE MENARD-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7913 PROVIDENT ST, PHILADELPHIA, PA 19150-1324
(267) 586-5774
Mailing address
7913 PROVIDENT ST, PHILADELPHIA, PA 19150-1324
(267) 586-5774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN300543
PA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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