Individual
LATORIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
777 MOUNT OLIVE RD, HEATHSVILLE, VA 22473-4621
(804) 436-8226
Mailing address
PO BOX 905, KILMARNOCK, VA 22482-0905
(804) 436-8226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
VA
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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