Individual
KIMBERLY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
938 BARNUM RD, ELDRED, PA 16731-4122
(814) 225-3621
Mailing address
938 BARNUM RD, ELDRED, PA 16731-4122
(814) 225-3621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
594548
NY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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