Provider Demographics
NPI:1538853049
Name:HEMPHILL, DONICA LATEE
Entity type:Individual
Prefix:
First Name:DONICA
Middle Name:LATEE
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 KNOX PL SE APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7907
Mailing Address - Country:US
Mailing Address - Phone:202-971-2826
Mailing Address - Fax:
Practice Address - Street 1:2913 KNOX PL SE APT 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7907
Practice Address - Country:US
Practice Address - Phone:202-971-2826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant