Individual
LATOYA ANDREA PENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BIRMINGHAM DR, COLUMBUS, NJ 08022-2342
(347) 782-2325
Mailing address
30 BIRMINGHAM DR, COLUMBUS, NJ 08022-2342
(347) 782-2325
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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