Individual
MS. SHAWNTEL C. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4637 WILBROCK ST, PHILADELPHIA, PA 19136-2827
(215) 595-2490
Mailing address
4637 WILBROCK ST, PHILADELPHIA, PA 19136-2827
(215) 595-2490
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
01/20/2021
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