Individual
MALLORY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
112 E PHILADELPHIA AVE, APT. 3B, BOYERTOWN, PA 19512-1146
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9991511
PA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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