Individual
YONETTE O MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PENN ST, READING, PA 19602-1000
(610) 372-7712
Mailing address
1824 STRAHLE ST, PHILADELPHIA, PA 19152-2323
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN29116323
PA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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