De Jesus, Lataya

De Jesus, Lataya is an individual health care provider with primary practice located at 1212 Garfield Ave , Parkersburg WV 26101-3247. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Other Service Providers / Prevention Professional. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. De Jesus, Lataya can be contacted via phone (304) 865-3600.

Contact Information

Primary practice address
1212 Garfield Ave Parkersburg WV 26101-3247
Phone: (304) 865-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0031356 Ohio
Other Service Providers / Prevention Professional 405300000X 0000837 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 113014 West Virginia

Profile Details

NPI number 1154071264
LBN Legal business name De Jesus, Lataya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2022
Last updated Feb 3rd, 2023 - about last year

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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