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NPI Code Detail

MEDICARE: LATASHA D GLASPER

MEDICARE:   LATASHA D GLASPER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1659951531
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATASHA D GLASPER
Provider Business Mailing Address
First Line : 569 SPRING HILL DR
Second Line :
City : MADISON
State : MS
Zip : 39110-8660
Country : US
Telephone Number : 601-435-1875
Fax Number :
Provider Business Practice Location Address
First Line : 569 SPRING HILL DR
Second Line :
City : MADISON
State : MS
Zip : 39110-8660
Country : US
Telephone Number : 601-435-1875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 04/13/2021

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Directions to “ LATASHA D GLASPER ” Practice Location

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