Individual provider · Type 1 NPI
Davida Lashae Lattimore
Driver · Dayton, OH
NPI number
1083395891
Active
Practice location
724 Kenilworth Ave
Dayton, OH 45405-4044
Mailing address
2130 W 3rd St
Dayton, OH 45417-2542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | SQ270187 (OH) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1083395891
Davida Lashae Lattimore's National Provider Identifier is 1083395891, issued on Jul 26, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Dayton, OH. The record was last updated on Jul 26, 2023.