Individual
LETONIA MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, GROUND RHOADS, PHILADELPHIA, PA 19104-4238
(215) 662-7355
Mailing address
3400 SPRUCE ST, GROUND RHOADS, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013956
PA
Other
Enumeration date
09/12/2014
Last updated
09/16/2014
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