Maketa Jolly

NPI 1639369507 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1639369507
Gender Female
Enumeration Date 07/27/2007
Last Updated 07/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING PA, 19462-1047, US
Phone (610) 834-1122
Fax (610) 834-7525
Business Location
333 DARBY TER
DARBY PA, 19023-2610, US
Phone (610) 586-0955
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Pennsylvania
License Number PN267669
Remove 1639369507 NPI Number
 

According to our database, Maketa Jolly NPI is 1639369507, taxonomy code is 164W00000X and license number is PN267669, license state is located at Pennsylvania. Maketa Jolly physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Maketa Jolly has the Individual type.

Sponsored links

1639369507 NPI number is provided on an as is basis without warranty of any kind. 1639369507 is maintained by the National Plan & Provider Enumeration System. The contents of Maketa Jolly are for informational purposes only.