Individual
SHAHEDDAH ABDUL-LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
986 E MAPLE ST, PALMYRA, PA 17078-2815
(717) 769-7587
Mailing address
986 E MAPLE ST, PALMYRA, PA 17078-2815
(717) 769-7587
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN299843
PA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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