Individual
GEORGE WANENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
10 CROMWELL CT, NEWARK, DE 19702-4180
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
L2-0009253
DE
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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