Provider Demographics
NPI:1174129100
Name:WILLIAMS-WEST, LATONYA
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:
Last Name:WILLIAMS-WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 TRAILVIEW CIR APT 403
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-7782
Mailing Address - Country:US
Mailing Address - Phone:804-480-2455
Mailing Address - Fax:
Practice Address - Street 1:6401 TRAILVIEW CIR APT 403
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-7782
Practice Address - Country:US
Practice Address - Phone:804-480-2455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-06
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula