DETRA DIANE MCKENZIE

PHILADELPHIA, PA
NPI1528256245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: PA  PN272145)
Enumeration Date2007-10-09
Last Update Date2007-10-09
Business Address
Mrs. DETRA DIANE MCKENZIE RN
3975 CONSHOHOCKEN AVE
PHILADELPHIA, PA 19131-5426
Phone number: 215-879-1000
Mailing Address
Mrs. DETRA DIANE MCKENZIE RN
6820 LYNFORD ST
PHILADELPHIA, PA 19149-2116
Phone number: 215-725-1153
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