Individual
YALONDA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PN283727
Contact information
Practice address
5429 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2223
(215) 754-0240
Mailing address
2452 79TH AVE, PHILADELPHIA, PA 19150-1414
(267) 836-9952
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN283727
PA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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