Individual
MARIAMA BERETY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
713 BENNINGTON RD, FOLCROFT, PA 19032-1714
(201) 455-4789
Mailing address
713 BENNINGTON RD, FOLCROFT, PA 19032-1714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026927
PA
Other
Enumeration date
01/09/2023
Last updated
11/17/2023
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