Individual
BLAKE LATOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3718 78TH AVENUE CT W APT P301, UNIVERSITY PLACE, WA 98466-3270
(206) 460-9437
Mailing address
3718 78TH AVENUE CT W APT P301, UNIVERSITY PLACE, WA 98466-3270
(206) 460-9437
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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