Tandalaya Sarah Cannon-Phillips, SEERS LAMA
Technician, Personal Care Attendant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1013166198
StatusActive
Last updated in NPPESJun 24, 2024
Details
- NPI
- 1013166198
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tandalaya Sarah Cannon-Phillips
- Credential
- SEERS LAMA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2008
- Last updated
- Jun 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | CNA 9994672 | PA | Yes |
| 133N00000X | Nutritionist | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 246R00000X | Technician, Pathology | – | – | |
| 246W00000X | Technician, Cardiology | – | – | |
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | – | – | |
| 2470A2800X | Technician, Health Information, Assistant Record Technician | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
714 Rhawn StApt 12a
Philadelphia, PA 19111-2513
Phone 215-725-0648 · Fax 267-467-0046
Mailing address
714 Rhawn StApt 12a
Philadelphia, PA 19111-2513
Phone 215-725-0648 · Fax 267-467-0046
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