LATASHIA L. BERGAN

NORFOLK, VA
NPI1770732943
Former NameLATASHIA L. DANIELS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: VA  0402203340)
Enumeration Date2008-09-12
Last Update Date2008-09-12
Business Address
-- LATASHIA L. BERGAN RDH
1647 ADMIRAL TAUSSIG BOULEVARD
NORFOLK, VA 23511
Phone number: 757-953-8547
Mailing Address
-- LATASHIA L. BERGAN RDH
1647 ADMIRAL TAUSSIG BOULEVARD
NORFOLK, VA 23511
Phone number: 757-953-8547