Provider Demographics
NPI:1184451700
Name:CHESTER, HARRIETTE SIA
Entity type:Individual
Prefix:
First Name:HARRIETTE
Middle Name:SIA
Last Name:CHESTER
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 1:3809 GULL RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-3515
Mailing Address - Country:US
Mailing Address - Phone:240-593-8551
Mailing Address - Fax:
Practice Address - Street 1:3809 GULL RD
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-3515
Practice Address - Country:US
Practice Address - Phone:240-593-8551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator