LATASHA A GREEN

PHENIX CITY, AL
NPI1962960740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
Enumeration Date2019-03-11
Last Update Date2019-03-11
Business Address
LATASHA A GREEN
25 KALIN ST
PHENIX CITY, AL 36869-3469
Phone number: 706-330-3754
Mailing Address
LATASHA A GREEN
25 KALIN ST
PHENIX CITY, AL 36869-3469
Phone number: 706-330-3754