Individual
SHELBY BOHARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 617-2706
Mailing address
236 HUNTERS KNOLL LN, LOGANTON, PA 17747-9196
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN316593
PA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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