Individual
MRS. LAVETTE WILLIS-CRITTENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 S MADISON AVE, UPPER DARBY, PA 19082-2818
(267) 225-0017
Mailing address
11 S MADISON AVE, UPPER DARBY, PA 19082-2818
(267) 225-0017
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
PA-PUC-6420940
PA
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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