Individual
TRICIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 BURTON ST, PHILADELPHIA, PA 19124-1533
(610) 348-2934
Mailing address
5250 BURTON ST, PHILADELPHIA, PA 19124-1533
(610) 348-2934
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
54383601
PA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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