Individual
ELLIE BARHAM LATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD STE 8001, BATON ROUGE, LA 70808
(225) 490-7224
(225) 490-7223
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200458
LA
Other
Enumeration date
08/01/2011
Last updated
01/04/2021
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