Individual
REGINA SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 MYRTLE RD, WALNUTPORT, PA 18088-9445
(610) 730-9228
Mailing address
PO BOX 67, WALNUTPORT, PA 18088-0067
(610) 760-1932
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26283601
PA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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