Shelby Square
NPI #1811104078 in Plymouth Meeting, Pennsylvania
Provider Information
- NPI Number
- 1811104078
- Entity Type
- Individual
- Name
- Shelby Square
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2250 HICKORY RD
- Address 2
- SUITE 240
- City
- Plymouth Meeting
- State
- Pennsylvania
- ZIP Code
- 19462-1047
- Phone
- (610) 834-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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| George Wanene, LPN | |
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| Beatrice Lynne Fuller |
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