Individual
MARY MARGARET MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
152 WINDING WAY, TELFORD, PA 18969-2172
(215) 723-1222
Mailing address
152 WINDING WAY, TELFORD, PA 18969-2172
(215) 723-1222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN277206
PA
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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