Individual
MS. LA-KIRSHA NATE WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
181 N UNION AVE, LANSDOWNE, PA 19050-1710
(267) 973-2231
Mailing address
181 N UNION AVE, LANSDOWNE, PA 19050-1710
(267) 973-2231
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
928103
PA
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
928103
PA
385H00000X
Respite Care
928103
PA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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