Individual
WINONA SACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1007 CALLAS CT, JACKSON, NJ 08527-4130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05285700
NJ
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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