Organization
THRIVE HOLISTIC HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATAYA TOQWUE WHITAKER NP (OWNER)
(571) 535-7255
Entity
Organization
Contact information
Practice address
2761 RICHMOND HWY STE 207, STAFFORD, VA 22554-8329
(571) 535-7255
Mailing address
2761 RICHMOND HWY STE 207, STAFFORD, VA 22554-8329
(571) 535-7255
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
10/13/2022
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