Individual
CONSTANCE MAGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
(267) 513-1722
Mailing address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
(267) 513-1722
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN266117
PA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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