Individual
JESSICA DAWN LATTEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2200 GRAND CENTRAL AVE, VIENNA, WV 26105-1300
(304) 428-2554
Mailing address
2200 GRAND CENTRAL AVE, VIENNA, WV 26105-1300
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
74082
WV
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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