Individual
LESLIE A. TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
34TH STREET CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(267) 426-6647
Mailing address
319 E ELMA AVE, LAUREL SPRINGS, NJ 08021-2109
(856) 435-3484
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20080177
PA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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