LATRISHA DIANA HICKS

NORFOLK, VA
NPI1992674659
Former NameLATRISHA PURYEAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VA  0024195222)
Enumeration Date2025-10-31
Last Update Date2026-06-09
Business Address
LATRISHA DIANA HICKS
930 W 21ST ST FL 2
NORFOLK, VA 23517-1516
Phone number: 757-624-1785
Mailing Address
LATRISHA DIANA HICKS
930 W 21ST ST FL 2
NORFOLK, VA 23517-1516
Phone number: 757-624-1785
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