Jefferson, Desarae Lateva

Jefferson, Desarae Lateva is an sole proprietor health care provider with primary practice located at 4357 Roark Mill Rd , Hurt VA 24563-3308. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Jefferson, Desarae Lateva can be contacted via phone (434) 420-8823.

Contact Information

Primary practice address
4357 Roark Mill Rd Hurt VA 24563-3308
Phone: (434) 420-8823
Fax: (434) 324-0568
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X T60727635 Virginia

Profile Details

NPI number 1114559077
LBN Legal business name Jefferson, Desarae Lateva
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2020
Last updated Feb 10th, 2020 - about 4 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.

Request for update

Popular Providers