Individual
MY'CHELLE LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 18TH ST SE, WASHINGTON, DC 20020-2209
(202) 459-3826
Mailing address
1523 A ST NE, WASHINGTON, DC 20002-6517
(202) 380-7711
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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