LATARA STEVENSON

BLOOMFIELD, NJ
NPI1407115496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies341600000X Ambulance
Enumeration Date2012-05-10
Last Update Date2012-05-10
Business Address
-- LATARA STEVENSON
28 CEDAR ST
BLOOMFIELD, NJ 07003-4920
Phone number: 973-445-6878
Mailing Address
-- LATARA STEVENSON
28 CEDAR ST
BLOOMFIELD, NJ 07003-4920
Phone number:
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