DEBORAH ANN STALLWORTH

PHILADELPHIA, PA
NPI1417311226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP013407)
Enumeration Date2016-04-07
Last Update Date2016-04-07
Business Address
-- DEBORAH ANN STALLWORTH
821 E UPSAL ST
PHILADELPHIA, PA 19119-1542
Phone number: 215-764-9679
Mailing Address
-- DEBORAH ANN STALLWORTH
821 E UPSAL ST
PHILADELPHIA, PA 19119-1542
Phone number: 215-844-4278