Individual
VERA SHUTKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3336
Mailing address
20912 PICKWICKE RD, LEWES, DE 19958-5460
(302) 727-6371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0046529
DE
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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