MONICA HERMINE MCCULLOUGH

MERIDIAN, ID
NPI1376700799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: PA  TP004475D)
Enumeration Date2008-05-22
Last Update Date2020-01-06
Business Address
MS. MONICA HERMINE MCCULLOUGH CPNP
3525 E LOUISE DR STE 250
MERIDIAN, ID 83642-6303
Phone number: 208-381-7312
Mailing Address
MS. MONICA HERMINE MCCULLOUGH CPNP
3405 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4399
Phone number: 267-426-5421
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