Individual
KENDALL MARIS GRASELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3770 RIDGE PIKE, COLLEGEVILLE, PA 19426-3170
(610) 489-8130
Mailing address
150 GLENDALE DR, HUNTINGDON VALLEY, PA 19006-2415
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP028928
PA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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