Individual
PATRICIA ANN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1600 10TH ST, WICHITA FALLS, TX 76301-4307
(940) 764-8002
(940) 764-8004
Mailing address
1600 10TH ST, WICHITA FALLS, TX 76301-4307
(940) 764-8002
(940) 764-8004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT04363
REGISTERED DIETICIAN
TX
Enumeration date
10/25/2006
Last updated
07/08/2007
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