Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Gerontology
Enumerated
May 8, 2015
License(s)
SP014952 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1922 GREENSPRING DR SUITE 6 | Timonium, MD 21093-7603 | 410-308-2300 |
| LOCATION | 7101 OLD YORK RD | Philadelphia, PA 19126-2114 | 215-424-4090 |
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