Provider Demographics
NPI:1932400934
Name:HOOD, LAVONA LA'THENA
Entity Type:Individual
Prefix:MS
First Name:LAVONA
Middle Name:LA'THENA
Last Name:HOOD
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 1:1024 CENTRAL AVE N APT J15
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-3079
Mailing Address - Country:US
Mailing Address - Phone:206-478-6838
Mailing Address - Fax:
Practice Address - Street 1:1024 CENTRAL AVE N APT J15
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-3079
Practice Address - Country:US
Practice Address - Phone:206-478-6838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker