Individual
JUDITH FLACK
Active
Sole proprietor
Yes
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
229 OXFORD CIR, NORRISTOWN, PA 19403-2965
(610) 539-3199
(610) 933-4080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN177107L
PA
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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