Most Relevant Information
Provider Data
| NPI Number: | 1003305384 |
| Provider Name: | LATASHA R PANNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2018 |
| Last Updated: | 05/02/2018 |
Provider Practice Location
445 E DUBLIN GRANVILLE RD STE O
WORTHINGTON
OH
430853192
Practice Location Phone/Fax
| Phone: | 6144367837 |
| Fax: |
Provider Mailing Location
445 E DUBLIN GRANVILLE RD STE O
WORTHINGTON
OH
430853192
Provider Mailing Phone/Fax
| Phone: | 6144367837 |
| Fax: |