Individual
JESSICA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Mailing address
3590 W 9000 S STE 240, WEST JORDAN, UT 84088-8864
(801) 352-8373
(801) 352-8459
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7432864-1206
UT
Other
Enumeration date
10/20/2009
Last updated
06/30/2023
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