Individual
KIMBERLY MADONNA
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
228 MAPLE AVE, COATESVILLE, PA 19320-2796
(610) 383-7311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN336198L
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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