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Shavon Patterson
NPI 1841603677 · on the registry since 2014
Practice
- Address
- 1722 N Gratz St
Philadelphia, PA 19121 - Phone
- (267) 634-1479
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 372500000X
372600000X - Licence states on file
- PA, PR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania