Individual
GRETCHEN BROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUTIE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2631 SMALSH BARRICK, MIDDLEBURG, PA 17842-9078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN575860
PA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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