Individual
MARY ANN TESTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9219 BLUE GRASS RD # APPT1, PHILADELPHIA, PA 19114-4370
(215) 245-2131
Mailing address
9219 BLUE GRASS RD # APPT1, PHILADELPHIA, PA 19114-4370
(215) 245-2131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN572026
PA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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