Individual
TERESA POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(215) 482-5353
Mailing address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN655185
PA
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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