Individual
SHELBIE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4522 SPRINGFIELD AVE APT 3, PHILADELPHIA, PA 19143-3745
(706) 338-5642
Mailing address
4522 SPRINGFIELD AVE APT 3, PHILADELPHIA, PA 19143-3745
(706) 338-5642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064126P
PA
Other
Enumeration date
12/01/2022
Last updated
12/02/2022
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