Individual
LAQUITTA LASTRAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NEMT TRANSPORTATION
Contact information
Practice address
5573 SABLE WAY, ATLANTA, GA 30349-8838
(404) 275-9964
(470) 480-2829
Mailing address
5573 SABLE WAY, ATLANTA, GA 30349-8838
(404) 275-9964
(470) 480-2829
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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