Individual
DARIA ANNETTE TATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4098 EDGMONT AVE, BROOKHAVEN, PA 19015-2211
(610) 876-8815
Mailing address
914 SOUTH AVE APT F10, SECANE, PA 19018-4409
(267) 673-0054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP458917
PA
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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