Irvine, Latricia

Irvine, Latricia is an sole proprietor health care provider with primary practice located at 3813 Trotters Ridge Cir , Valdosta GA 31605-4892. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Irvine, Latricia can be contacted via phone (504) 344-4646.

Contact Information

Primary practice address
3813 Trotters Ridge Cir Valdosta GA 31605-4892
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 17002279 Georgia

Profile Details

NPI number 1689108052
LBN Legal business name Irvine, Latricia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2017
Last updated Apr 12th, 2017 - about 9 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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