Individual
JENNIFER WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
634 HAUDIE ANN RD, BOOTHWYN, PA 19061-2802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN260764L
PA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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