Latavia Randolph

NPI #1194288811 in Prichard, Alabama

Provider Information

NPI Number
1194288811
Entity Type
Individual
Name
Latavia Randolph
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 9, 2019
Last Updated
May 31, 2019

Practice Location

Address
2703 BEVERLY P WASHINGTON ST
State
Alabama
ZIP Code
36613-3449
Phone
(251) 458-3190

Specialties & Taxonomy Codes

Specialty
Driver
Non-emergency Medical Transport (VAN)

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