Individual
VALENTIN LATICEVSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405
(253) 403-1000
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD60832496
WA
2084N0400X
Neurology Physician
R2150
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2013
Last updated
07/21/2022
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