Blue, Latasha

Blue, Latasha is an individual health care provider with primary practice located at 313 Olive Branch Blvd , Grifton NC 28530-8584. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Blue, Latasha can be contacted via phone (252) 531-3100.

Contact Information

Primary practice address
313 Olive Branch Blvd Grifton NC 28530-8584
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 25441176 North Carolina

Profile Details

NPI number 1366086282
LBN Legal business name Blue, Latasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2019
Last updated Nov 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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