Individual provider · Type 1 NPI

Latifah Latrelle Green, CMA

Driver · Jacksonville, FL

NPI number 1295356616 Active

Practice location

8006 Jaguar Dr
Jacksonville, FL 32244-1357

Call (904) 930-1126 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XG650532875960 (FL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1295356616

Latifah Latrelle Green, CMA's National Provider Identifier is 1295356616, issued on Apr 27, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 4, 2020.