Latasha Blue

NPI #1366086282 in Grifton, North Carolina

Provider Information

NPI Number: 1366086282
Entity Type: Individual
Name: Latasha Blue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Nov 4, 2019
Last Updated: Nov 4, 2019

Practice Location

Address: 313 OLIVE BRANCH BLVD
City: Grifton
State: North Carolina
ZIP Code: 28530-8584
Phone: (252) 531-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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