Individual
LATISHA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 HIGHWAY 594, MONROE, LA 71203-9502
(318) 547-8148
Mailing address
1618 HIGHWAY 594, MONROE, LA 71203-9502
(318) 547-8148
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
006567185
LA
Other
Enumeration date
03/20/2019
Last updated
06/11/2019
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