ALIVIA SHADE

PLYMOUTH MEETING, PA
NPI1346458262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  LP23312)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- ALIVIA SHADE LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- ALIVIA SHADE LPN
40 POPS LN
GREAT CACAPON, WV 25422-3315
Phone number:
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