Individual
MR. ALLEN JUSTIN LATTIMORE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 KENILWORTH AVE, DAYTON, OH 45405-4044
(193) 726-0106
Mailing address
2130 W 3RD ST, DAYTON, OH 45417-2542
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
03/05/2024
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