Individual
LATONYA MICHELLE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 JACKSON FARM LANE, BUMPASS, VA 23024
(804) 441-1786
Mailing address
345 JACKSON FARM LN, BUMPASS, VA 23024-3235
(804) 441-1786
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2755
VA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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