Individual
LATORIA MICHELLE O'HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N YORK RD STE 1, WILLOW GROVE, PA 19090-1326
(121) 552-8449
Mailing address
1575 ROTHLEY AVE, WILLOW GROVE, PA 19090-4819
(267) 297-9013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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