Individual
LATASHIANA LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5936 BLACKROCK LN, MEMPHIS, TN 38141-6945
(901) 483-7742
Mailing address
5936 BLACKROCK LN, MEMPHIS, TN 38141-6945
(901) 483-7742
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
143885941
TN
Other
Enumeration date
04/29/2019
Last updated
06/07/2021
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