Individual
KIARA MICHELLE LOPEZ DE LATCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4301 5TH STREET HWY STE 101, TEMPLE, PA 19560-1739
(610) 208-8800
(610) 898-1336
Mailing address
1420 LANCASTER AVE, READING, PA 19607-1540
(484) 467-7391
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059530
PA
Other
Enumeration date
10/30/2017
Last updated
09/22/2024
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