Individual
LATTA J PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 KEITH ST SW, CLEVELAND, TN 37311-5869
(423) 476-4539
Mailing address
3157 VISTA DR NW, CLEVELAND, TN 37312-3691
(423) 413-1390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000027818
TN
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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