Individual
MS. LATANYA WROTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 HIGHWAY 51 N, SOUTHAVEN, MS 38671-3636
(901) 550-3556
Mailing address
8600 HIGHWAY 51 N, SOUTHAVEN, MS 38671-3636
(901) 550-3556
(662) 510-2466
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
02/14/2022
Last updated
09/27/2023
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