Provider Demographics
NPI:1649987124
Name:CHAMBERS, JHUDAE LATOYA
Entity type:Individual
Prefix:
First Name:JHUDAE
Middle Name:LATOYA
Last Name:CHAMBERS
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 1:1160 SUMMIT PLACE CIR APT D
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-4873
Mailing Address - Country:US
Mailing Address - Phone:561-293-0424
Mailing Address - Fax:
Practice Address - Street 1:1160 SUMMIT PLACE CIR APT D
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-4873
Practice Address - Country:US
Practice Address - Phone:561-293-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235921376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker