Individual
MISS LATEEFAH A PREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HOSPITAL ROAD, OAK BLUFFS, MA 02557-1477
(508) 957-0111
Mailing address
1 HOSPITAL ROAD, OAK BLUFFS, MA 02557-1477
(508) 957-0111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4173
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000623450
ANTHEM PROVIDER NUMBER
IN
Enumeration date
10/08/2008
Last updated
03/08/2017
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