Individual
MISS MELINDA SUE MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 355-1225
Mailing address
RR 4 BOX 62, CAMERON, WV 26033-9732
(304) 686-3874
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN273212
PA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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