LATISHA RENEE PETTY

PETERSBURG, VA
NPI1245199280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: VA  0024195858)
Enumeration Date2026-01-16
Last Update Date2026-01-16
Business Address
LATISHA RENEE PETTY
1429 HALIFAX ST
PETERSBURG, VA 23803-5933
Phone number: 540-748-6048
Mailing Address
LATISHA RENEE PETTY
1429 HALIFAX ST
PETERSBURG, VA 23803-5933
Phone number: