Individual
RICKY ALAN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDRS
Contact information
Practice address
30 HOPE DR, HERSHEY, PA 17033-2036
(717) 531-7105
(717) 531-0138
Mailing address
500 UNIVERSITY DR, MC A410, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-0138
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
21364278
PA
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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