LAKESHIA REVERON

PLYMOUTH MEETING, PA
NPI1962738237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN274832)
Enumeration Date2009-10-21
Last Update Date2009-10-21
Business Address
-- LAKESHIA REVERON
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- LAKESHIA REVERON
3440 AVON ROAD APT L-343
DEVON, PA 19333
Phone number: