LATRICIA IRVINE

VALDOSTA, GA
NPI1689108052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: GA  17002279)
Enumeration Date2017-04-12
Last Update Date2017-04-12
Business Address
-- LATRICIA IRVINE
3813 TROTTERS RIDGE CIR
VALDOSTA, GA 31605-4892
Phone number: 504-344-4646
Mailing Address
-- LATRICIA IRVINE
3813 TROTTERS RIDGE CIR
VALDOSTA, GA 31605-4892
Phone number: 504-344-4646
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