EDZER JEAN

PHILA, PA
NPI1245466739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN263850)
Enumeration Date2009-06-10
Last Update Date2009-06-10
Business Address
-- EDZER JEAN
6445 RISING SUN AVE
PHILA, PA 19111-5228
Phone number: 215-742-3247
Mailing Address
-- EDZER JEAN
6445 RISING SUN AVE
PHILA, PA 19111-5228
Phone number:
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