Provider Demographics
NPI:1124822465
Name:RESPER, LATASHA
Entity type:Individual
Prefix:
First Name:LATASHA
Middle Name:
Last Name:RESPER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 EMERALD BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2605
Mailing Address - Country:US
Mailing Address - Phone:202-679-5200
Mailing Address - Fax:
Practice Address - Street 1:200 Q ST NE APT 2513
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2398
Practice Address - Country:US
Practice Address - Phone:202-702-1426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant