Individual
JAMIE LATTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 N GLENBROOK RD, LIBERTY LAKE, WA 99016-9454
(208) 704-0747
Mailing address
491 E. SPENCER ST, APT J104, POST FALLS, ID 83854
(208) 704-0747
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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