GEORGES THEODULE

PHILADELPHIA, PA
NPI1740967215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP027645)
Enumeration Date2023-06-28
Last Update Date2023-06-28
Business Address
GEORGES THEODULE PMHNP-BC
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128-2412
Phone number: 215-487-4000
Mailing Address
GEORGES THEODULE PMHNP-BC
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128-2412
Phone number:
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