Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-12-04
- Last updated
- 2008-06-17
Specialties
Licenses
- License DE
- 07 00008348
Location
- Practice location
- 235 W LOOCKERMAN ST
- City
- DOVER DE
- Postal code
- 199043247
- Phone
- 302-672-7335
Organization contact
- Name
- MARY CONARD
- Title
- Owner
- Phone
- 3026727335
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.