Individual
MRS. DONNA MARIE MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY ROAD, PLYMOUTH MEETING, PA 19462-3534
(800) 879-4471
Mailing address
1535 LEON DR, HATFIELD, PA 19440-3534
(215) 855-3460
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-048666-L
PA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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