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Individual

MRS. LATRICA M CHANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA MED TECH CARGIV

Contact information

Practice address
3350 E ATLANTIC BLVD STE 209, POMPANO BEACH, FL 33062-5743
(954) 258-3714
Mailing address
1950 NE 6TH ST UNIT 2324, POMPANO BEACH, FL 33061-2614
(954) 951-7899

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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