Individual
PAMELA E TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
204 STEVENS ST, PHILADELPHIA, PA 19111-5917
(267) 760-7312
Mailing address
204 STEVENS ST, PHILADELPHIA, PA 19111-5917
(267) 760-7312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN098291L
PA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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