Individual
MS. NOLA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(215) 219-2345
Mailing address
5842 DICKENS AVE, PHILADELPHIA, PA 19143-6002
(215) 729-8324
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP005049C
PA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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