Provider Demographics
NPI:1568246577
Name:DANIEL, CHARNICE LATOYA
Entity Type:Individual
Prefix:MRS
First Name:CHARNICE
Middle Name:LATOYA
Last Name:DANIEL
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 1:16611 JOY RD # 307
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-1924
Mailing Address - Country:US
Mailing Address - Phone:248-383-3597
Mailing Address - Fax:
Practice Address - Street 1:16611 JOY RD # 307
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-1924
Practice Address - Country:US
Practice Address - Phone:248-383-3597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide