Individual provider · Type 1 NPI
Latia Tisdale
Specialist · North Chesterfield, VA
NPI number
1699307520
Active
Practice location
2520 Professional Rd Ste D
North Chesterfield, VA 23235-3267
Mailing address
6313 Calavetti Dr
North Chesterfield, VA 23234-4180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1204019942 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in North Chesterfield
About NPI 1699307520
Latia Tisdale's National Provider Identifier is 1699307520, issued on Feb 8, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in North Chesterfield, VA. The record was last updated on Feb 8, 2020.