Mya Nichelle LLC
NPI #1811648918 in Lansdowne, Pennsylvania
Provider Information
- NPI Number
- 1811648918
- Entity Type
- Organization
- Organization Name
- Mya Nichelle LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Jan 11, 2022
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 100 W BALTIMORE AVE APT H
- City
- Lansdowne
- State
- Pennsylvania
- ZIP Code
- 19050-2139
- Phone
- (610) 809-8332
Authorized Official
- Name
- TAMIYA WADE
- Title
- OWNER
- Phone
- (610) 809-8332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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