Individual
MISS CAITLYN BETH LATIOLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 CENTER ST, MOBILE, AL 36604-1541
(251) 660-5108
(251) 660-5792
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2479
AL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
07/17/2023
Last updated
02/11/2025
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