Individual
MRS. MARILYN J FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
607 MAIN ST, LANSDALE, PA 19446
(215) 362-4950
Mailing address
PO BOX 402, DOYLESTOWN, PA 18901-0402
(215) 939-4280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN259826L
PA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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