Individual
BETH VILLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CHPN, LMT
Contact information
Practice address
10 FLAGSTAFF PL, PHILADELPHIA, PA 19115-3408
(267) 255-6696
Mailing address
10 FLAGSTAFF PL, PHILADELPHIA, PA 19115-3408
(267) 255-6696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN627764
PA
225700000X
Massage Therapist
Primary
MSG005739
PA
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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