Individual
PAULINE WANDETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
202 W ALBEMARLE AVE, LANSDOWNE, PA 19050-1127
(610) 690-9605
Mailing address
202 W ALBEMARLE AVE, LANSDOWNE, PA 19050-1127
(610) 690-9605
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN314379
PA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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