DEREK GONSALVES

PLYMOUTH MEETING, PA
NPI1710168562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN273838)
Enumeration Date2007-11-21
Last Update Date2007-11-21
Business Address
-- DEREK GONSALVES
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- DEREK GONSALVES
2220 N 2ND ST
PHILADELPHIA, PA 19133-3301
Phone number: 267-258-5649
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