Individual
LATANYA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 N HUTCHINSON ST FL 2, PHILADELPHIA, PA 19141-3713
(267) 505-4274
Mailing address
5901 N HUTCHINSON ST FL 2, PHILADELPHIA, PA 19141-3713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
74053601
PA
374U00000X
Home Health Aide
Primary
74053601
PA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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