Individual
MRS. LATASHA RENEE' CHUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
700 BRYDEN RD, COLUMBUS, OH 43215-4839
(614) 462-0236
Mailing address
1205 ONSLOW DR, COLUMBUS, OH 43204-4720
(614) 381-4864
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.05552
OH
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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