Individual
LATASHA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 SHEFFIELD AVE, PHILADELPHIA, PA 19136-3519
(215) 804-9526
Mailing address
3502 SHEFFIELD AVE, PHILADELPHIA, PA 19136-3519
(215) 804-9526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN290840
PA
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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