Individual provider · NPI-1

Sharron Brookins

Contractor, Vehicle Modifications · Philadelphia, PA

NPI number1881339158
StatusActive
Last updated in NPPESMay 2, 2022

Details

NPI
1881339158
Entity type
Individual (NPI-1)
Name
Sharron Brookins
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2022
Certification date
May 2, 2022
Last updated
May 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171WV0202X Contractor, Vehicle Modifications–PAYes

Practice location

727 S 60th St
Philadelphia, PA 19143-2303

Phone 215-251-3488

Mailing address

727 S 60th St
Philadelphia, PA 19143-2303

Phone 215-251-3488

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