Individual
MR. THOMAS ANTHONY LATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, ACNP
Contact information
Practice address
2550 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4327
(530) 529-8000
Mailing address
371 BARNHART CIR, SACRAMENTO, CA 95835-1526
(916) 607-1085
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
546669
CA
363LA2100X
Acute Care Nurse Practitioner
13664
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4004
CA
Other
Enumeration date
03/22/2011
Last updated
02/11/2022
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