Individual
SHIRLEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2039 GORDEN RIDGE DR, EAST STROUDSBURG, PA 18302-8468
(570) 517-1215
Mailing address
2039 GORDEN RIDGE DR, EAST STROUDSBURG, PA 18302-8468
(570) 517-1215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4453551
NY
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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