Individual
MS. SHANELLE LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
167 WAYNE AVE, DARBY, PA 19023-3824
(267) 330-9871
Mailing address
167 WAYNE AVE, DARBY, PA 19023-3824
(267) 330-9871
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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