Individual
MRS. REVATHI SANGEETHA THIRUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 CHAMBERLAIN CT, GLEN MILLS, PA 19342
(516) 717-9253
Mailing address
REVASANG@GMAIL.COM, 24 CHAMBERLAIN CT, GLEN MILLS, PA 19342
(516) 717-9253
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
121509
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN678507
PA
Other
Enumeration date
04/06/2018
Last updated
06/04/2018
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