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Individual

LATONIA DENISE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1905 DES MOINES AVE, PORTSMOUTH, VA 23704-5417
(757) 748-0093
Mailing address
274 MCCORMICK DR, SUFFOLK, VA 23434-9351
(757) 748-0093

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
T62671304
VA
343900000X
Non-emergency Medical Transport (VAN)
Primary
T62671304
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851069215
VA
Enumeration date
08/29/2025
Last updated
12/31/2025
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