Individual
MS. TINA RENE' MARCHETTI
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
(321) 208-1826
Mailing address
408 HARRISON AVE, UNIT 12, CAPE CANAVERAL, FL 32920-2319
(321) 208-1826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 1303161
FL
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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