Individual
MS. GINA FAGAN CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 339-4563
Mailing address
451 HARRISON AVE, HATBORO, PA 19040-2209
(215) 441-8551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN266663L
PA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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