Individual
DIANE MARIE HASSELL-LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
283 SW BAYA DR, LAKE CITY, FL 32025-5227
(386) 755-2770
(386) 755-0421
Mailing address
283 SW BAYA DR, LAKE CITY, FL 32025-5227
(386) 755-2770
(386) 755-0421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS030272
FL
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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