Russ, Lateesha

Russ, Lateesha is an sole proprietor health care provider with primary practice located at 4310 Fortuna Center Plz T-2017, Dumfries VA 22025-1538. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Russ, Lateesha can be contacted via phone (703) 586-6133.

Contact Information

Primary practice address
4310 Fortuna Center Plz T-2017 Dumfries VA 22025-1538
Phone: (703) 586-6133
Fax: (703) 586-6846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202207899 Virginia

Profile Details

NPI number 1811282015
LBN Legal business name Russ, Lateesha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 2011 - about 13 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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