Individual
MS. LISETTE KAREN BUNTING-PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA VAMC PADRECC #127, PHIALDELPHIA, PA 19104
(215) 823-5934
Mailing address
110 BUNTING DR, WILMINGTON, DE 19808-1968
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
RN359030L
PA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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