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NPI Code Detail

MEDICARE: LATONYA SHARISE DANIELS CHORE PROVIDER

MEDICARE: LATONYA SHARISE DANIELS CHORE PROVIDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider

General Provider Information

NPI Number : 1881307593
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATONYA SHARISE DANIELS CHORE PROVIDER
Provider Business Mailing Address
First Line : 1124 N HURON ST APT B
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1971
Country : US
Telephone Number : 419-213-9160
Fax Number :
Provider Business Practice Location Address
First Line : 1124 N HURON ST APT B
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1971
Country : US
Telephone Number : 419-213-9160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2022
Last Update Date : 12/28/2022

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Directions to “ LATONYA SHARISE DANIELS CHORE PROVIDER” Practice Location

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