Individual
MARQUICE JAMALE NOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
13002 TOWNSEND ROAD, PHILADELPHIA, PA 19154-1001
(267) 597-1168
Mailing address
13002 TOWNSEND ROAD, PHILADELPHIA, PA 19154-1001
(267) 597-1168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290304
PA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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