MERCEDES JULIA DETTRA

PHILADELPHIA, PA
NPI1346066859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP031168)
Enumeration Date2024-11-30
Last Update Date2024-11-30
Business Address
MERCEDES JULIA DETTRA PMHNP
111 N 49TH ST
PHILADELPHIA, PA 19139-2718
Phone number: 215-471-2600
Mailing Address
MERCEDES JULIA DETTRA PMHNP
913 S 51ST ST APT 4
PHILADELPHIA, PA 19143-3260
Phone number: 267-650-5454
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