Individual
MRS. FLORENCE MARY FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, GENERAL HEALTHCARE RESOURCES INC SUITE 240, PLYMOUTH MEETING, PA 19462
(888) 834-7200
(610) 834-3180
Mailing address
14 MAPLE COURT, MAYS LANDING, NJ 08330
(609) 476-3481
(609) 476-3298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN250916L
NJ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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