Individual
DELORINE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
6520 FALKIRK RD, APT. B, BALTIMORE, MD 21239-1635
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP38741
MD
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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