Individual
LATASHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 BELLFLOWER WAY, CHESAPEAKE, VA 23323-6740
(757) 335-1867
Mailing address
2122 BELLFLOWER WAY, CHESAPEAKE, VA 23323-6740
(757) 335-1867
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T61777319
VA
Other
Enumeration date
02/21/2018
Last updated
04/04/2019
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