Individual
MARIAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 825-1604
Mailing address
7305 PITTVILLE AVE, PHILADELPHIA, PA 19126-1528
(215) 924-1306
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN257096L
PA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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