Individual
SHANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
2801 STANBRIDGE ST, APT # A220, NORRISTOWN, PA 19401-1608
(610) 279-1929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN561510
PA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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