Individual
SHARON FLUELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3154 W 13TH ST, CHESTER, PA 19013-1503
(856) 381-7347
Mailing address
235 PARK AVE, WOODBURY, NJ 08096-3518
(856) 381-7347
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN305445
PA
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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