Individual
SHANNON E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
30 HUNTER LN, CAMP HILL, PA 17011-2400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
829229-01
NY
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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