Individual
HAYFA SHAKKOUR-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
55 3RD AVE, KINGSTON, PA 18704-5723
(570) 245-1532
Mailing address
107 W ENTERPRISE ST, GLEN LYON, PA 18617-1001
(570) 764-1560
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
YM010026
PA
2279C0205X
Critical Care Registered Respiratory Therapist
YM010026
PA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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