Individual
LATRESSE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6702 DITMAN ST, PHILADELPHIA, PA 19135-2222
(267) 595-0178
Mailing address
6702 DITMAN ST, PHILADELPHIA, PA 19135-2222
(267) 595-0178
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
32613601
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820742456
HOME CARE
PA
Enumeration date
06/27/2017
Last updated
07/21/2022
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