Individual
MARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
PO BOX 312, CAMPBELLTOWN, PA 17010-0312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN100454L
PA
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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