Individual
NICOLE WILLIAMS-SERRITELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
4228 HICKORY RD, APT 2A, MISHAWAKA, IN 46545-8517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27046857A
IN
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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