Individual
PENNY JO SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S CENTRAL AVE, LAUREL, DE 19956-1418
(302) 875-6100
Mailing address
1160 S CENTRAL AVE, LAUREL, DE 19956-1418
(302) 875-6100
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0017774
DE
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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