Individual
KATHLEEN MARQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
109 E 11TH AVE, CONSHOHOCKEN, PA 19428-1556
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN638488
PA
Other
Enumeration date
12/04/2019
Last updated
01/15/2020
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