Individual
JANET KATHERINE LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1001 COLLEGE AVE STE B, FORT WORTH, TX 76104-3013
(817) 336-6012
(817) 336-6013
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 336-6013
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
226613
TX
Other
Enumeration date
11/15/2006
Last updated
09/23/2009
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