Individual
J GUTHERLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY ROAD, PLYMOUTH MEETING, PA 19462
(610) 834-1122
Mailing address
2250 HICKORY ROAD, PLYMOUTH MEETING, PA 19462
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN045084L
PA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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