Individual
MS. EMMA MARIE PETERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 W STATE ST, MEDIA, PA 19063-2615
(215) 748-1267
Mailing address
349 W STATE ST, MEDIA, PA 19063-2615
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN58664L
PA
Other
Enumeration date
11/18/2008
Last updated
08/26/2011
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