Individual
SHARON AMBER VANOMMEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3601 MARKET ST UNIT 2209, PHILADELPHIA, PA 19104-5919
(484) 637-3994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065875
PA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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