Individual
LATOSHA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6525 DIANNE ST, SHREVEPORT, LA 71119-5217
(318) 814-9434
Mailing address
6525 DIANNE ST, SHREVEPORT, LA 71119-5217
(318) 814-9434
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
007898182
LA
343900000X
Non-emergency Medical Transport (VAN)
Primary
485999
LA
Other
Enumeration date
02/09/2023
Last updated
02/10/2023
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