Individual
COURTNEY MARUYAMA LATEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FAIRFAX INOVA HOSPITAL, FALLS CHURCH, VA 22042-3307
(703) 776-3138
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 882-0705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024173332
VA
Other
Enumeration date
11/13/2015
Last updated
06/24/2016
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