Individual
MRS. SHALEE LYNN SHUMILOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 RIDGEVIEW DR, UNIT 3, SMITHFIELD, PA 15478-1650
(724) 569-8100
(724) 569-8100
Mailing address
100 RIDGEVIEW DR, UNIT 3, SMITHFIELD, PA 15478-1650
(724) 569-8100
(724) 569-8100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051854
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382097YP91
PTAN
PA
Enumeration date
05/19/2006
Last updated
04/22/2015
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