Individual
MISS LATOYA DENISE PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1035 CHAMPIONS WAY, SUITE 600, SUFFOLK, VA 23435-3762
(757) 394-1390
(757) 394-1393
Mailing address
1035 CHAMPIONS WAY, SUITE 600, SUFFOLK, VA 23435-3762
(757) 394-1390
(757) 394-1393
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002955
VA
Other
Enumeration date
02/12/2009
Last updated
06/29/2010
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