Individual
MARYLANDE REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 GLENWOOD AVE, EAST LANSDOWNE, PA 19050-2512
(267) 235-5089
Mailing address
401 GLENWOOD AVE, EAST LANSDOWNE, PA 19050-2512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
257498
SC
163W00000X
Registered Nurse
Primary
RN703181
PA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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