Individual
MS. LAUREEN MARY TAVOLARO-RYLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CS
Contact information
Practice address
1427 S BROAD ST, PHILADELPHIA, PA 19147-4919
(215) 300-0275
(215) 336-6415
Mailing address
1427 S BROAD ST, PHILADELPHIA, PA 19147-4919
(215) 300-0275
(215) 336-6415
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN269156L
PA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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