Individual
DONNA MONTEFUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
624 W CHESTNUT ST, SHAMOKIN, PA 17872-6645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN600098
PA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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