Individual
TONYA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(610) 834-1122
(610) 834-7525
Mailing address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PN264630
PA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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