Individual
MARY L FORNEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
771 RIVER RD, YARDLEY, PA 19067-1847
(312) 282-0963
Mailing address
771 RIVER RD, YARDLEY, PA 19067-1847
(312) 282-0963
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN536499
PA
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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