Individual provider · NPI-1
Latara Stevenson
Non-emergency Medical Transport (VAN) · Bloomfield, NJ
NPI number1407115496
StatusActive
Last updated in NPPESMay 10, 2012
Details
- NPI
- 1407115496
- Entity type
- Individual (NPI-1)
- Name
- Latara Stevenson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2012
- Last updated
- May 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 341600000X | Ambulance | – | – |
Practice location
28 Cedar StBloomfield, NJ 07003-4920
Phone 973-445-6878
Mailing address
28 Cedar StBloomfield, NJ 07003-4920
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