Individual
DANIEL ROBERT LATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
737 W 100 N, APT 8, PROVO, UT 84601-2652
(385) 250-8930
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/07/2017
Last updated
05/07/2017
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