Individual
AMONTE EDWARD KERRY LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
40887 BELLERAY AVE, MURRIETA, CA 92562-6349
(312) 709-0565
Mailing address
40887 BELLERAY AVE, MURRIETA, CA 92562-6349
(312) 709-0565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95620
CA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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