Individual
MARIE DERILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
223 SE 26TH AVE, BOYNTON BEACH, FL 33435-7627
(561) 773-8268
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5464987
FL
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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