IndividualActive
Latasha Green
NPI 1962960740 · Contractor · Phenix City, AL
Provider details
- NPI number
- 1962960740
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
25 Kalin St
Phenix City, AL 36869-3469
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2019-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.