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1790401602
LATASHA NYE BROCKINGTON
FALLS CHURCH, VA
NPI
1790401602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
374J00000X Doula
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
LATASHA NYE BROCKINGTON
7000 S KENFIG DR
FALLS CHURCH, VA 22042-3866
Phone number: 843-834-4225
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Mailing Address
LATASHA NYE BROCKINGTON
7000 S KENFIG DR
FALLS CHURCH, VA 22042-3866
Phone number: 843-834-4225
Copy