Individual
MELISSA EILEEN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(484) 654-3085
Mailing address
1051 BROOKWOOD LN, GLENOLDEN, PA 19036-1509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN315090
PA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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