Latisha Lynne Ankrom
Technician, Personal Care Attendant in Shinnston, WV. Individual provider (NPI-1).
NPI number1306583000
StatusActive
Last updated in NPPESMay 16, 2022
Details
- NPI
- 1306583000
- Entity type
- Individual (NPI-1)
- Name
- Latisha Lynne Ankrom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2022
- Certification date
- May 16, 2022
- Last updated
- May 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
712 Bices Run RdShinnston, WV 26431-6959
Phone 304-694-8125
Mailing address
712 Bices Run RdShinnston, WV 26431-6959
Phone 304-694-8125
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All 33 Personal Care Attendant providers in Shinnston · All 120 providers in Shinnston
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