Individual
GEOFFREY LATHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN, NP
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1211
(415) 353-1990
Mailing address
1635 DIVISADERO ST, STE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 15144
CA
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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