MARTHA LAKE

PLYMOUTH MEETING, PA
NPI1689974412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NJ  26NP05930300)
Enumeration Date2010-10-27
Last Update Date2010-10-27
Business Address
-- MARTHA LAKE
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- MARTHA LAKE
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number:
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