Individual
MARCIA TINA BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 ELMWOOD AVE, SHARON HILL, PA 19079-1606
(267) 241-8059
Mailing address
1030 ELMWOOD AVE, SHARON HILL, PA 19079-1606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN273863
PA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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