JACQUELINE COUNTESS

PHILADELPHIA, PA
NPI1700336930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: PA  SP016615)
Enumeration Date2016-10-12
Last Update Date2016-10-13
Business Address
-- JACQUELINE COUNTESS CRNP
3400 SPRUCE ST 4TH FLOOR SILVERSTEIN- SURGERY
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-7870
Mailing Address
-- JACQUELINE COUNTESS CRNP
3400 SPRUCE ST 4TH FLOOR SILVERSTEIN- SURGERY
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-7870
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