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Individual

ELLEN C. DELUCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3515 SILVERSIDE RD, WILMINGTON, DE 19810-4906
(302) 478-5757
Mailing address
322 HARDING AVE, FOLSOM, PA 19033-3112
(484) 494-0976

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000548
DE
363LF0000X
Family Nurse Practitioner
SP011130
PA

Other

Enumeration date
01/08/2011
Last updated
01/08/2011
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