Desarae Lateva Jefferson
Desarae Lateva Jefferson is a Private Vehicle in Hurt, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2020
Practice location Address checks out
4357 Roark Mill RdHurt, VA 24563-3308
Phone: (434) 420-8823
Fax: (434) 324-0568
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X · Licence T60727635 (VA) |
|---|
Record details
| NPI number | 1114559077 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 10, 2020 |
| Last updated in NPPES | February 10, 2020 |
| Certification date | February 10, 2020 |