Individual
MS. TERESA G ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4254 LAWNSIDE RD, PHILA, PA 19154-2804
(215) 437-9746
Mailing address
4254 LAWNSIDE RD, PHILA, PA 19154-2804
(215) 437-9746
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PNO80394L
PA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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