Individual
LATRICE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 RAVINES EDGE CT, ETNA, OH 43062-6003
(614) 702-8484
Mailing address
101 RAVINES EDGE CT, ETNA, OH 43062-6003
(614) 702-8484
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RT431935
OH
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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