Individual
MARY SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2 PCAM, PHILADELPHIA, PA 19104-5127
(215) 662-4000
Mailing address
3400 CIVIC CENTER BLVD, 2 PCAM, PHILADELPHIA, PA 19104-5127
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014723
PA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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