Provider Demographics
NPI:1972240018
Name:LITTLEJOHN, TOTTIANA ROXANNE
Entity Type:Individual
Prefix:
First Name:TOTTIANA
Middle Name:ROXANNE
Last Name:LITTLEJOHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E FRYE RD APT 170
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1072
Mailing Address - Country:US
Mailing Address - Phone:602-877-8148
Mailing Address - Fax:
Practice Address - Street 1:155 E FRYE RD APT 170
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1072
Practice Address - Country:US
Practice Address - Phone:602-877-8148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide