MARYELLEN FAVATA

PHILADELPHIA, PA
NPI1265195838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: PA  RN653863)
Enumeration Date2021-10-20
Last Update Date2021-10-20
Business Address
MARYELLEN FAVATA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-316-5151
Mailing Address
MARYELLEN FAVATA
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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