Individual
JONATHAN TAINGAY CORLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
8 SOUTHRIDGE RD, DARBY, PA 19023-1112
(610) 809-7592
Mailing address
8 SOUTHRIDGE RD, DARBY, PA 19023-1112
(610) 809-7592
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN276640
PA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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