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Individual
LATARSHA TAMMI MORRISON
Active
Individual
LATARSHA TAMMI MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0100002826
VA
363AM0700X
Medical Physician Assistant
C0003828
MD
363AS0400X
Surgical Physician Assistant
Primary
C03828
MD
Other
Enumeration date
09/15/2008
Last updated
10/07/2014
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