Latia Tisdale
Latia Tisdale is a Specialist in North Chesterfield, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2020
Practice location Address checks out
2520 Professional Rd Ste DNorth Chesterfield, VA 23235-3267
Phone: (804) 601-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1204019942 (VA) |
|---|
Record details
| NPI number | 1699307520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2020 |
| Last updated in NPPES | February 8, 2020 |
| Certification date | February 8, 2020 |
| Mailing address | 6313 Calavetti Dr, North Chesterfield, VA 23234-4180 |
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