Camacho, Latiesha Jasmin

Camacho, Latiesha Jasmin is an individual health care provider with primary practice located at 14906 Jefferson Davis Hwy , Woodbridge VA 22191-4016. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Camacho, Latiesha Jasmin can be contacted via phone (703) 491-6167.

Contact Information

Primary practice address
14906 Jefferson Davis Hwy Woodbridge VA 22191-4016
Phone: (703) 491-6167
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306604855 Virginia

Profile Details

NPI number 1225548258
LBN Legal business name Camacho, Latiesha Jasmin
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated Oct 4th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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