Individual
LATONYA DEMETRIA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1800 CAMELOT DR, SUITE 200, VIRGINIA BEACH, VA 23454-2440
(757) 491-7337
Mailing address
1950 GLENN MITCHELL DR, STE 310, VIRGINIA BEACH, VA 23456-0019
(757) 507-0402
(757) 507-3171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101245930
VA
Other
Enumeration date
05/22/2007
Last updated
11/07/2016
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