Individual
MR. TOBY DAVID-CORTEZ' LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 CASA URBANO DR, CLINTON, MS 39056-5933
(601) 259-9750
Mailing address
PO BOX 620, CLINTON, MS 39060-0620
(601) 259-9750
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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