MARY ANN LICWINKO

PHILADELPHIA, PA
NPI1295768307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  187701L)
Enumeration Date2006-07-09
Last Update Date2015-03-25
Business Address
-- MARY ANN LICWINKO CRNA
8835 GERMANTOWN AVE
PHILADELPHIA, PA 19118-2718
Phone number: 215-248-8200
Mailing Address
-- MARY ANN LICWINKO CRNA
68 S SERVICE RD SUITE 350
MELVILLE, NY 11747-2358
Phone number: 516-945-3347
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