Individual
SHARELL SWEETWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7244 CASTOR AVE, PHILADELPHIA, PA 19149-1109
(484) 704-0884
Mailing address
7244 CASTOR AVE, PHILADELPHIA, PA 19149-1109
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
AOO166955
MD
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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