Individual
MS. JULIET KATHRYN LATREILLE-FAVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
16110 E 14TH ST, ASHLAND, CA 94578-3002
(510) 471-5880
Mailing address
16110 E 14TH ST, ASHLAND, CA 94578-3002
(510) 471-5880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95256829
CA
363L00000X
Nurse Practitioner
Primary
NP95033418
CA
Other
Enumeration date
06/18/2022
Last updated
05/05/2026
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