Marsenia Bacon

NPI 1639324809 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1639324809
Gender Female
Enumeration Date 12/01/2008
Last Updated 12/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2250 HICKORY RD
PLYMOUTH MEETING PA, 19462-1047, US
Phone (610) 834-1122
Fax
Business Location
230 OVERBROOK LN
MARLTON NJ, 08053-6610, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New Jersey
License Number 26NP05078800
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According to our database, Marsenia Bacon NPI is 1639324809, taxonomy code is 164W00000X and license number is 26NP05078800, license state is located at New Jersey. Marsenia Bacon physically located at 2250 Hickory Rd, Plymouth Meeting PA, 19462-1047. NPI Number Marsenia Bacon has the Individual type.

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1639324809 NPI number is provided on an as is basis without warranty of any kind. 1639324809 is maintained by the National Plan & Provider Enumeration System. The contents of Marsenia Bacon are for informational purposes only.