Individual
DR. JACQUELINE MARIE LATINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5999
(410) 367-2406
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5999
(410) 367-2406
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D85785
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2013
Last updated
02/06/2019
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