Individual
MRS. ADELANKE VERONICA KUTEYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2738
(215) 456-2729
Mailing address
135 KENT RD, UPPER DARBY, PA 19082-3210
(215) 456-2738
(215) 456-2729
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN291674
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528171790
—
PA
Enumeration date
04/28/2016
Last updated
04/28/2016
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