Individual
ROSETTA SHRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
9234 W. WOLF MT. RD., GOSPORT, IN 47433
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27039566A
IN
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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