SHATA LIAM STEPHENSON

PHILADELPHIA, PA
NPI1619764461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-24
Last Update Date2025-04-26
Business Address
SHATA LIAM STEPHENSON
240 S 40TH ST
PHILADELPHIA, PA 19104-6030
Phone number: 215-898-8965
Mailing Address
SHATA LIAM STEPHENSON
3319 HUNTER BLVD S
SEATTLE, WA 98144-7031
Phone number: 206-612-1569
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