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Individual

BROOKE LATNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 HILBORN RD, FAIRFIELD, CA 94534-1097
(707) 646-5599
Mailing address
2500 HILBORN RD, FAIRFIELD, CA 94534-1097
(707) 646-5599

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA65967
CA

Other

Enumeration date
11/14/2024
Last updated
04/28/2025
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