Individual
LATANYA NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 NASSAU RD, PHILADELPHIA, PA 19151-3525
(215) 852-1988
(215) 695-2100
Mailing address
5905 NASSAU RD, PHILADELPHIA, PA 19151-3525
(215) 852-1988
(215) 695-2100
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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