Individual
OLIVIA CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3998 RED LION ROAD, SUITE 240, PHILADELPHIA, PA 19114
(215) 632-3500
(215) 632-6335
Mailing address
10 PRESIDENTIAL BLVD, SUITE 124, BALA CYNWYD, PA 19004-1107
(610) 664-9700
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP015904
PA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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