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Individual

CONSTANCE ANNE M COOPER-FACENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CSN

Contact information

Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(610) 834-1122
(610) 834-7525
Mailing address
3532 WINDING WAY, NEWTOWN SQUARE, PA 19073-3608
(610) 353-7743

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN259400L
PA
163WS0200X
School Registered Nurse
07627518
PA

Other

Enumeration date
03/25/2009
Last updated
03/25/2009
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