Individual
JESSICA A CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1288 VALLEY FORGE RD, UNIT 69, PHOENIXVILLE, PA 19460-2687
(610) 933-9483
(610) 933-4080
Mailing address
48 S WYCOMBE AVE, APT. 17, LANSDOWNE, PA 19050-2860
(215) 500-1988
(610) 933-4080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN290727
PA
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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