Individual
MRS. CORINNE MARY KOCH-BLAYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
57 OAK GROVE RD, OTTSVILLE, PA 18942-9748
(610) 751-8358
Mailing address
57 OAK GROVE RD, OTTSVILLE, PA 18942-9748
(610) 751-8358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014883
PA
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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