Individual
SUZANNE LATTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 N FLORENCE ST, GRANGEVILLE, ID 83530-1876
(208) 451-4466
Mailing address
318 N FLORENCE ST, GRANGEVILLE, ID 83530-1876
(208) 451-4466
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
—
Other
Enumeration date
03/17/2011
Last updated
08/19/2014
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