Individual
LATRICE DENISE HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5053 JURGENSON WAY, ELK GROVE, CA 95757-2502
(916) 826-1300
Mailing address
PO BOX 189262, SACRAMENTO, CA 95818-9262
(916) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
D2174896
CA
1744R1103X
Research Study Abstracter/Coder
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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