Individual
KENDRA M LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSH RPSGT
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684
(360) 449-1749
Mailing address
12607 SE MILLE PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 449-1749
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863
—
WA
Enumeration date
02/21/2020
Last updated
02/21/2020
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