LATASHA GREEN

Contractor

Active Individual
NPI: 1962960740

Practice Address

25 KALIN ST
Phenix City, AL 36869

Phone: (706) 330-3754

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1962960740 is the National Provider Identifier for LATASHA GREEN, a Contractor provider located in Phenix City, AL. This NPI was enumerated on March 11, 2019.
LATASHA GREEN practices at 25 KALIN ST, Phenix City, AL 36869.

Quick Facts

NPI
1962960740
Type
Individual
Enumerated
Mar 11, 2019
Last Updated
Mar 11, 2019

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