Individual
DR. LATASHA WALTERS KOSZEWNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
610 ENCINO DR, MORGAN HILL, CA 95037-5704
(619) 920-8425
Mailing address
610 ENCINO DR., MORGAN HILL, CA 95037
(619) 920-8425
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002304
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5003
CA
Other
Enumeration date
08/15/2008
Last updated
08/18/2015
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