ELLEN FORTUN

PLYMOUTH MEETING, PA
NPI1902082829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN 5156444)
Enumeration Date2008-01-10
Last Update Date2008-01-10
Business Address
ELLEN FORTUN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
ELLEN FORTUN
2871 SE ITALY ST
PORT ST LUCIE, FL 34952-5587
Phone number: 772-940-2403
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