Individual
TECOLA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6765 GERMANTOWN AVE, PHILA, PA 19119-2111
(215) 403-7426
Mailing address
1448 N CORLIES ST, PHILADELPHIA, PA 19121-3505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN324027
PA
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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