Individual
LATASHA HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17144 EVANS DR, SOUTH HOLLAND, IL 60473-3440
(708) 400-1637
Mailing address
17144 EVANS DR, SOUTH HOLLAND, IL 60473-3440
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D17150732
IL
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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