Individual
ANDRIA R LATTEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 W MAIN ST, SALEM, WV 26426-7615
(130) 478-2219
Mailing address
2265 W MAIN ST, SALEM, WV 26426-7615
(130) 478-2219
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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