Individual
MRS. LATRICA M CHANCE
Active
Individual
MRS. LATRICA M CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA MED TECH CARGIV
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
409579
FL
314000000X
Skilled Nursing Facility
406578
FL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
406578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110775100
—
FL
Enumeration date
03/30/2021
Last updated
05/11/2022
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