Individual
HATTIE DEMPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1600 FARRINGTON RD, PHILADELPHIA, PA 19151-2714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102634L
PA
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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