Individual
LETASHA D DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9037 BILLY PAT DR, OLIVE BRANCH, MS 38654-6844
(901) 846-2272
Mailing address
9037 BILLY PAT DR, OLIVE BRANCH, MS 38654-6844
(901) 846-2272
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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