Individual
MS. SHAWNOR CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(215) 513-1995
Mailing address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(215) 513-1995
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN296392
PA
Other
Enumeration date
05/03/2016
Last updated
07/08/2016
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