Individual
QUEEN N MADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7248 ELMWOOD AVE, PHILADELPHIA, PA 19142-1533
(215) 531-4178
Mailing address
7248 ELMWOOD AVE, PHILADELPHIA, PA 19142-1533
(215) 531-4178
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN293930
PA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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