MAURICE TREVELLE LATHAM

VIRGINIA BEACH, VA
NPI1497247407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: VA  T62676783)
Enumeration Date2018-06-05
Last Update Date2019-01-08
Business Address
MAURICE TREVELLE LATHAM
928 SUMMERSIDE CT
VIRGINIA BEACH, VA 23456-6373
Phone number: 757-927-2325
Mailing Address
MAURICE TREVELLE LATHAM
928 SUMMERSIDE CT
VIRGINIA BEACH, VA 23456-6373
Phone number: 757-927-2325
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