Individual
MISS CORALIA LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 684-4767
Mailing address
6301 OLD YORK RD APT 205, PHILADELPHIA, PA 19141-2031
(215) 549-1083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN601101
PA
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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