Individual
DEMETRA LATRICE TATE-HEILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-2323
Mailing address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002414
VA
Other
Enumeration date
01/22/2007
Last updated
06/25/2025
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