Individual
LATARSHA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
Mailing address
1050 FORDLAND DR, HALIFAX, VA 24558-2696
(434) 222-0474
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
0117004583
VA
Other
Enumeration date
09/11/2018
Last updated
04/20/2023
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