Individual
JULIANNA MCCOLLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7705 KEIFFER ST, PHILADELPHIA, PA 19128-3142
(484) 744-8363
Mailing address
7705 KEIFFER ST, PHILADELPHIA, PA 19128-3142
(484) 744-8363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0049696
DE
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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