Individual
DAJARNAE SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
107 LAROSE DRIVE, COATESVILLE, PA 19320
(484) 354-0116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN294511
PA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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