Individual
SHERNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 S HOLBROOK ST, PHILADELPHIA, PA 19142-1729
(267) 975-3015
Mailing address
2701 S HOLBROOK ST, PHILADELPHIA, PA 19142-1729
(267) 975-3015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN289274
PA
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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