Provider Demographics
NPI:1174059695
Name:CHAMBERS, TAMEKA TARELLE (PROVIDER)
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:TARELLE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 LESLIE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-3329
Mailing Address - Country:US
Mailing Address - Phone:330-319-0408
Mailing Address - Fax:
Practice Address - Street 1:554 LESLIE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-3329
Practice Address - Country:US
Practice Address - Phone:330-319-0408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide