Provider Demographics
NPI:1881307593
Name:DANIELS, LATONYA SHARISE (CHORE PROVIDER)
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:SHARISE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:CHORE PROVIDER
Other - Prefix:
Other - First Name:LATONYA
Other - Middle Name:SHARISE
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHORE PROVIDER
Mailing Address - Street 1:1124 N HURON ST APT B
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1971
Mailing Address - Country:US
Mailing Address - Phone:419-213-9160
Mailing Address - Fax:
Practice Address - Street 1:1124 N HURON ST APT B
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-1971
Practice Address - Country:US
Practice Address - Phone:419-213-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider