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
ZIP Code
19462-1047
Phone
(610) 834-1122

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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