Individual provider · NPI-1

Latoria Michelle O'Hannon

Durable Medical Equipment & Medical Supplies · Willow Grove, PA

NPI number1639909195
StatusActive
Last updated in NPPESAug 7, 2024

Details

NPI
1639909195
Entity type
Individual (NPI-1)
Name
Latoria Michelle O'Hannon
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 7, 2024
Certification date
Aug 7, 2024
Last updated
Aug 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

1000 N York Rd Ste 1
Willow Grove, PA 19090-1326

Phone 121-552-8449

Mailing address

1575 Rothley Ave
Willow Grove, PA 19090-4819

Phone 267-297-9013

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