Individual
SHAKERA STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E ELM ST APT 1, SCRANTON, PA 18505-4440
(856) 265-5720
Mailing address
610 E ELM ST APT 1, SCRANTON, PA 18505-4440
(856) 265-5720
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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