Individual
MS. DESHUNA LATIA DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5936 DUNNSHIRE RD, NORTH CHESTERFIELD, VA 23234-4849
(804) 549-8153
Mailing address
5936 DUNNSHIRE RD, NORTH CHESTERFIELD, VA 23234-4849
(804) 549-8153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002092200
VA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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