LATIESHA JASMIN CAMACHO

WOODBRIDGE, VA
NPI1225548258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306604855)
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
Ms. LATIESHA JASMIN CAMACHO PTA
14906 JEFFERSON DAVIS HWY
WOODBRIDGE, VA 22191-4016
Phone number: 703-491-6167
Mailing Address
Ms. LATIESHA JASMIN CAMACHO PTA
10429 SUMMER HILL RD
MECHANICSVILLE, VA 23116-6613
Phone number: 804-938-3692
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