Individual
MA ARRA PAULINE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 BORBECK AVE, PHILADELPHIA, PA 19152-3725
(267) 232-8283
Mailing address
2108 BORBECK AVE, PHILADELPHIA, PA 19152-3725
(267) 232-8283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN762785
PA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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