Individual
LILLIAN HALEY-PEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4742 PENN ST, PHILADELPHIA, PA 19124-5823
(215) 744-8338
(215) 744-8338
Mailing address
4742 PENN ST, PHILADELPHIA, PA 19124-5823
(215) 744-8338
(215) 744-8338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN257008L
PA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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