Individual
EMILY FAYE LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510-1065
(757) 252-9015
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
(757) 446-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010383
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2023
Last updated
11/12/2024
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