Individual
LATONIA J MCSWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11814 KING WILLIAM RD, AYLETT, VA 23009-4103
(804) 769-4499
Mailing address
2904 BROADFORD TER, HENRICO, VA 23233-8008
(804) 357-4856
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024178025
VA
Other
Enumeration date
11/06/2019
Last updated
08/04/2020
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