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Individual

JAYLA LATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
471 CHESTNUT ST, SPRINGFIELD, MA 01107-2007
(413) 733-1431
Mailing address
471 CHESTNUT ST, SPRINGFIELD, MA 01107-2007

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2387306
MA

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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