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Individual

MELISSA ANNE MASCIO-PRIMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1345 SUMNEYTOWN PIKE, GWYNEDD VALLEY, PA 19437-0902
(215) 646-8815
Mailing address
PO BOX 902, GWYNEDD VALLEY, PA 19437-0902
(215) 646-8815

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN104426L
PA

Other

Enumeration date
04/08/2021
Last updated
04/08/2021
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