Individual
RACHAEL PINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3174
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3174
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20163513
PA
Other
Enumeration date
11/02/2016
Last updated
02/27/2017
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