Individual
MRS. DENISE LUELLA PRIMAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4019 BETHLEHEM PIKE, TELFORD, PA 18969-1126
(215) 723-7900
(215) 723-4481
Mailing address
106 QUINCE DRIVE, TELFORD, PA 18969
(215) 721-6356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005445L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2627638
AETNA GROUP
PA
01
—
2729465
AETNA
PA
Enumeration date
03/08/2006
Last updated
07/08/2007
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