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Ms. Heather Wendy Elizabeth Latham
Family Nurse Practitioner in San Bernardino, California
NPI 1548691736

Heather Wendy Elizabeth Latham is a Family Nurse Practitioner based in San Bernardino, CA and is specialized in Family. Heather Wendy Elizabeth Latham practices in San Bernardino, CA. The NPI Number for Heather Wendy Elizabeth Latham is 1548691736 and holds a License No. AP60436140 (California).

The current practice location address for Heather Wendy Elizabeth Latham is 250 S G St, San Bernardino, CA and can be reached out via phone at 909-651-7510.

Location: 250 S G St, San Bernardino, CA, 92410-3320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548691736
Provider Name
Heather Wendy Elizabeth Latham
Credential
Provider Entity Type
Individual
Gender
Female
Address
250 S G St, San Bernardino, CA, 92410-3320
Phone Number
909-651-7510
Fax Number
Provider Enumeration Date
12/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 S G St
City
San Bernardino
State
California
Zip
92410-3320
Phone Number
909-651-7510
Fax Number
person
Provider Business Mailing Address Details
Address
250 S G St
City
San Bernardino
State
California
Zip
92410-3320
Phone Number
909-651-7510
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60436140 (Washington)
Definition
Definition to come...
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