Individual
SHANNON CEPHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1304 MASON RUN, PINE HILL, NJ 08021-7633
(800) 950-6066
Mailing address
1304 MASON RUN, PINE HILL, NJ 08021-7633
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05360800
NJ
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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