Individual
SHACONNA PINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2236 S 67TH ST, PHILADELPHIA, PA 19142-1801
(267) 300-7912
Mailing address
2236 S 67TH ST, PHILADELPHIA, PA 19142-1801
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9922038
PA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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