Individual
MRS. MARYANN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,MED
Contact information
Practice address
905 S BODINE ST, PHILADELPHIA, PA 19147-4207
(215) 467-0920
Mailing address
905 S BODINE ST, PHILADELPHIA, PA 19147-4207
(215) 467-0920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN282817L
PA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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