Individual
MS. SHAMIRROR L STANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSHA, LPN,CDP, ALR,
Contact information
Practice address
6732 WYNCOTE AVE, PHILADELPHIA, PA 19138-3136
(267) 694-2343
Mailing address
6732 WYNCOTE AVE, PHILADELPHIA, PA 19138-3136
(267) 694-2343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN302336
PA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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