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Individual

VINCE RICHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
2106 CHESTNUT ST, CHESTER, PA 19013-5519
(484) 534-0435

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9303947
PA

Other

Enumeration date
06/26/2007
Last updated
07/08/2007
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