Individual
MARY JUCEL P ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE STE 467, WYNNEWOOD, PA 19096-3434
(610) 896-7424
(610) 896-6171
Mailing address
100 E LANCASTER AVE STE 467, WYNNEWOOD, PA 19096-3434
(610) 896-7424
(610) 896-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020019
PA
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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