Provider Demographics
NPI:1215726302
Name:CHAMBERS, LATASHA CHANTE
Entity type:Individual
Prefix:
First Name:LATASHA
Middle Name:CHANTE
Last Name:CHAMBERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 HAYES ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7529
Mailing Address - Country:US
Mailing Address - Phone:240-559-8136
Mailing Address - Fax:
Practice Address - Street 1:3501 HAYES ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7529
Practice Address - Country:US
Practice Address - Phone:240-559-8136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty