Individual
KEISHIA GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
603 SWIFT ST, NORRISTOWN, PA 19401-5157
(610) 278-0355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN252843L
PA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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