Individual
SANTA M TOLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5119 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-1744
(215) 831-1598
(215) 831-1598
Mailing address
5119 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-1744
(215) 831-1598
(215) 831-1598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN089111L
PA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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