Individual
JENNIFER ANN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33811 9TH AVE S, FEDERAL WAY, WA 98003-6707
(425) 770-2798
Mailing address
33811 9TH AVE S, FEDERAL WAY, WA 98003-6707
(425) 770-2798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60782036
WA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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