Individual
JOHANE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1288 VALLEY FORGE RD UNIT 69, PHOENIXVILLE, PA 19460-2687
(610) 933-9483
(610) 933-4080
Mailing address
1456 DEVEREAUX AVE, PHILADELPHIA, PA 19149-2701
(302) 377-4440
(610) 933-4080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282085
PA
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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