Individual
REBECCA LIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
7533 SLATE DR, BALTIMORE, MD 21244-1249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R147116
MD
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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