Individual
LINDA SHIVACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 BLUE HERON DR, ALLENTOWN, PA 18103-4973
(267) 371-9042
Mailing address
740 BLUE HERON DR, ALLENTOWN, PA 18103-4973
(267) 371-9042
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN318377
PA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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