Individual
LATOYA M. HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
529 CARTER ST, GREENVILLE, MS 38701-2603
(662) 820-7244
Mailing address
529 CARTER ST, GREENVILLE, MS 38701-2603
(662) 820-7244
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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