Individual
FUNMI NIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
558 W UWCHLAN AVE STE 5, EXTON, PA 19341-3050
(484) 925-5581
Mailing address
558 W UWCHLAN AVE STE 5, EXTON, PA 19341-3050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN281392
PA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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