Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATAVIA RANDOLPH
Active Sole ProprietorLATAVIA RANDOLPH is a Bus healthcare provider located in PRICHARD, Alabama. NPI 1194288811 is currently active in the NPPES registry. Verify at CMS.
Bus · PRICHARD, AL
Registration Details
- NPI Number
- 1194288811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2019 (7.3590071330943 yrs)
- Last Updated
- May 31, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2703 BEVERLY P WASHINGTON STPRICHARD, AL, 366133449Browse AL providers · Browse ZIP 36613
- Phone
- 2514583190
- Primary Specialty
-
Bus
343900000X
- Additional Specialty
- Bus
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.