Individual
MRS. DIANE LYNN WHITEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2134 BERRELL AVE, ABINGTON, PA 19001-1003
(267) 625-1671
Mailing address
2134 BERRELL AVE, ABINGTON, PA 19001-1003
(267) 625-1671
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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