Individual
PATREL A CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 WALNUT ST, PHILADELPHIA, PA 19139-3836
(215) 474-4444
Mailing address
2900 N HARRISON ST, WILMINGTON, DE 19802-2935
(215) 609-5798
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R250650
PA
163WG0600X
Gerontology Registered Nurse
Primary
SP025231
PA
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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