Individual
MARY A. SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
121 E MEMORIAL DR, MUNCIE, IN 47302-4005
(765) 896-8099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28135842A
IN
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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