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OTILA TRICIA HUGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3927 PENNSGROVE ST, PHILA, PA 19104-1111
(215) 804-9706
Mailing address
1919 COTTMAN AVE, PHILA, PA 19111-3816
(267) 563-2356
(215) 745-6511

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN315549
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/11/2021
Last updated
12/06/2022
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