Individual
LATONYA UPSHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2946 W DAUPHIN ST, PHILADELPHIA, PA 19132-3417
(267) 228-1901
Mailing address
505 BLOOMFIELD AVE, DREXEL HILL, PA 19026-5209
(267) 228-1901
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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