Individual
BRENDA LATTEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 OAK DR, BEVERLY, WV 26253-8212
(304) 637-6970
Mailing address
218 3RD ST, ELKINS, WV 26241-3833
(304) 636-5195
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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