AYANNA TAMIRA LOGAN

PHOENIXVILLE, PA
NPI1508535154
Former NameAYANNA TUCKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP024193)
Enumeration Date2021-09-08
Last Update Date2021-11-05
Business Address
AYANNA TAMIRA LOGAN
601 GAY ST
PHOENIXVILLE, PA 19460-3852
Phone number: 610-917-2200
Mailing Address
AYANNA TAMIRA LOGAN
601 GAY ST
PHOENIXVILLE, PA 19460-3852
Phone number: 610-917-2200
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