Individual
JESSICA LATONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(973) 997-6991
Mailing address
1100 WALNUT ST, FL 5, PHILADELPHIA, PA 19107-4944
(973) 997-6991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD468418
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/10/2013
Last updated
10/09/2020
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