Individual
LAURA SUPPI PAULINE SUPPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
1303 LAKEVIEW DR, LANSDALE, PA 19446-3112
(267) 421-3093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN608762
PA
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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