Individual
LA'TONYA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8706 QUEENSMERE PL APT 7, HENRICO, VA 23294-4865
(757) 389-3292
Mailing address
8706 QUEENSMERE PL APT 7, HENRICO, VA 23294-4865
(757) 389-3292
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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