Latasha Blue is a Driver based in Greenville, NC. Latasha Blue practices in Grifton, NC. The NPI Number for Latasha Blue is 1366086282 and holds a License No. 25441176 (North Carolina).
The current practice location address for Latasha Blue is 313 Olive Branch Blvd, Grifton, NC and can be reached out via phone at 252-531-3100.
Location: 313 Olive Branch Blvd, Grifton, NC, 27833-1032
Provider Profile Details
NPI Number
1366086282
Provider Name
Latasha Blue
Credential
Provider Entity Type
Individual
Gender
Female
Address
313 Olive Branch Blvd, Grifton, NC, 27833-1032
Phone Number
252-531-3100
Fax Number
Provider Enumeration Date
11/04/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
313 Olive Branch Blvd
City
State
Zip
28530-8584
Phone Number
252-531-3100
Fax Number
Provider Business Mailing Address Details
Address
313 Olive Branch Blvd
City
State
Zip
28530-8584
Phone Number
252-531-3100
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
25441176 (North Carolina)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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