Individual
MS. LORETTA ANN FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N., W.C.C.
Contact information
Practice address
302 E. CHAMPLOST AVE, PHILA, PA 19120
(215) 713-5848
Mailing address
302 E. CHAMPLOST AVE, PHILA, PA 19120
(215) 713-5848
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN105275L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12010815
WCC
PA
Enumeration date
04/02/2009
Last updated
04/02/2009
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