Individual provider · Type 1 NPI
Latasha Blue
Driver · Grifton, NC
NPI number
1366086282
Active
Practice location
313 Olive Branch Blvd
Grifton, NC 28530-8584
Mailing address
PO Box 31032
Greenville, NC 27833-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 25441176 (NC) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Grifton
About NPI 1366086282
Latasha Blue's National Provider Identifier is 1366086282, issued on Nov 4, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Grifton, NC. The record was last updated on Nov 4, 2019.