Individual
EKATERINA LATYCHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-6699
(570) 887-5672
Mailing address
245 N 15TH ST, PHILADELPHIA, PA 19102-1101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD455654
PA
Other
Enumeration date
06/22/2012
Last updated
08/31/2015
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