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Individual

DAVID LATIMER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
235 JACOB ST, ELMONT, NY 11003-2229
(516) 254-1737
Mailing address
235 JACOB ST, ELMONT, NY 11003-2229
(516) 254-1737

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
717728
NY

Other

Enumeration date
05/01/2019
Last updated
05/01/2019
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