Individual
LETHA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4711 NEW CENTRE DR, WILMINGTON, NC 28405-3442
(910) 395-0749
Mailing address
4711 NEW CENTRE DR, WILMINGTON, NC 28405-3442
(910) 395-0749
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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