Latavia Randolph
Latavia Randolph is a Driver in Prichard, Alabama. Practices as a sole proprietor. Licensed in Alabama.
- Licensed in
- AL
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2703 Beverly P Washington StPrichard, AL 36613-3449
Phone: (251) 458-3190
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X (AL) |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1194288811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2019 |
| Last updated in NPPES | May 31, 2019 |
| Mailing address | 2703 Beverly P Washington St, Prichard, AL 36613-3449 |