Individual
DAVID LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2713 LANCASTER AVE, WILMINGTON, DE 19805-5220
(302) 656-2348
Mailing address
106 GRIER AVE, WILMINGTON, DE 19804-1607
(302) 373-8747
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0008567
DE
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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