Individual
MRS. LATOYA RENE SAUNDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
428 E PHIL ELLENA ST, PHILADELPHIA, PA 19119-1943
(215) 715-0683
Mailing address
428 E PHIL ELLENA ST, PHILADELPHIA, PA 19119-1943
(215) 715-0683
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN299038
PA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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