Individual
TANYA HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 EMILY ST, PHILADELPHIA, PA 19148-2413
(215) 200-3202
Mailing address
636 EMILY ST, PHILADELPHIA, PA 19148-2413
(215) 200-3202
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN619097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844774833
—
PA
Enumeration date
01/06/2021
Last updated
01/06/2021
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