Individual
LATASHA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MILLRACE CIRCLE, AIKEN, SC 29805
(803) 552-2008
Mailing address
110 MILLRACE CIR, AIKEN, SC 29805-9324
(803) 552-2008
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1800036335
SC
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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