Individual
LARENZ WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 LISTON LN, PORTSMOUTH, VA 23701-4039
(757) 541-4878
Mailing address
815 LISTON LN, PORTSMOUTH, VA 23701-4039
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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