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Latricia Irvine
NPI 1689108052 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3813 Trotters Ridge Cir
Valdosta, GA 31605 - Phone
- (504) 344-4646
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia