Individual
MRS. DENVA GRACE WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
818 E UPSAL ST, PHILADELPHIA, PA 19119-1541
(267) 368-5108
(215) 924-1264
Mailing address
818 E UPSAL ST, PHILADELPHIA, PA 19119-1541
(267) 368-5108
(215) 924-1264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN615240
PA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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