Individual
LATASHA R. STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6465 KINGSWOOD DR, INDIANAPOLIS, IN 46256-2923
(317) 654-4383
Mailing address
6465 KINGSWOOD DR, INDIANAPOLIS, IN 46256-2923
(317) 654-4383
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1550237218
IN
344600000X
Taxi
1550237218
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942960059
—
IN
Enumeration date
08/23/2023
Last updated
08/23/2023
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