Individual
MRS. PATRICIA ANN DEYENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805
(302) 994-2511
(302) 633-5582
Mailing address
622 BEAVER FALLS PLACE, WILMINGTON, DE 19808
(302) 633-6220
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
L10023129
DE
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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