Individual
MISS LOURDES MARJORIE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1919 CHESTNUT ST APT 2123, PHILADELPHIA, PA 19103-3438
(518) 491-0795
Mailing address
1919 CHESTNUT ST APT 2123, PHILADELPHIA, PA 19103-3438
(516) 491-0795
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN270127
PA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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