LINE ST-VIL

PHILADELPHIA, PA
NPI1750971263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  pn291699)
Enumeration Date2021-01-20
Last Update Date2021-01-20
Business Address
LINE ST-VIL
520 ROBBINS ST
PHILADELPHIA, PA 19111-5764
Phone number: 267-770-8542
Mailing Address
LINE ST-VIL
520 ROBBINS ST
PHILADELPHIA, PA 19111-5764
Phone number: 267-770-8542
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