Individual
JENNIFER ANN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(858) 244-1811
Mailing address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0069366
OK
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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