Latara Stevenson
NPI #1407115496 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1407115496
- Entity Type
- Individual
- Name
- Latara Stevenson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- May 10, 2012
- Last Updated
- May 10, 2012
Practice Location
- Address
- 28 CEDAR ST
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-4920
- Phone
- (973) 445-6878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
| Non-emergency Medical Transport (VAN) |
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