Organization
LATRICE EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE SHEPPARD (OWNER)
(614) 702-8484
Entity
Organization
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
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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