Individual
TONYA SHANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6230 LINDBERGH BLVD, PHILA, PA 19142-3416
(215) 409-5122
Mailing address
6230 LINDBERGH BLVD, PHILA, PA 19142-3416
(215) 409-5122
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21734341
—
PA
Enumeration date
08/08/2019
Last updated
08/08/2019
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