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Individual

JEAN FATIMA RYALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2817 VIDERE DR, WILMINGTON, DE 19808-3674
(516) 680-1308

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0035446
DE
363LA2200X
Adult Health Nurse Practitioner
LB-0000283
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402973
NY

Other

Enumeration date
05/12/2008
Last updated
11/08/2021
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