Individual
MRS. PAULINE S COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 W BALTIMORE PIKE, SUITE 304, WEST GROVE, PA 19390-9446
(610) 869-1278
Mailing address
111 CROMWELL DR, LINCOLN UNIVERSITY, PA 19352-1120
(610) 999-9441
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012053
PA
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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