Individual
MARK DAUGHTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
929 JEFFERSON AVE, LANGHORNE, PA 19047-5433
(215) 813-0908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN553407
PA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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