Individual
DONNA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
39 N CLINTON AVE, TRENTON, NJ 08609-1011
(609) 396-4557
Mailing address
10 SOUTHARD ST, TRENTON, NJ 08609-1020
(609) 396-4557
(609) 460-0217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-47418-062
KS
Other
Enumeration date
03/06/2024
Last updated
03/19/2024
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