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Individual

MRS. MARY MARGARET TRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(800) 561-2015
Mailing address
1917 35TH AVE, VERO BEACH, FL 32960-2523
(772) 778-3554
(772) 778-3554

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1289351
FL

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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