Individual
DIANE TINDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 FORD RD, PHILADELPHIA, PA 19131-2039
(267) 787-7096
Mailing address
3900 FORD RD, PHILADELPHIA, PA 19131-2039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
543776
NY
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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