Individual
EDDIE LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13790 ROCKPORT CT, MORENO VALLEY, CA 92553-6002
(310) 920-3400
Mailing address
1104 1/2 E 7TH ST # 217, LOS ANGELES, CA 90021-1504
(310) 439-8421
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
15101474
CA
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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