Individual
SHANEE SHEREQUE HAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
144 BELMONT AVE, AMBLER, PA 19002-5907
(215) 260-7649
Mailing address
218 N EASTON RD APT F5, GLENSIDE, PA 19038-4133
(215) 421-7214
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308414
PA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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