Individual
MARLENE ADDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5609 N 13TH ST, PHILADELPHIA, PA 19141-4103
(267) 586-1775
Mailing address
5609 N 13TH ST, PHILADELPHIA, PA 19141-4103
(267) 586-1775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN082065L
PA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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