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Stephanie Eileen Latham
General Practice Physician in San Diego, California
NPI 1972194942

Stephanie Eileen Latham is a General Practice Physician based in San Diego, CA. Stephanie Eileen Latham practices in San Diego, CA. The NPI Number for Stephanie Eileen Latham is 1972194942 and holds a License No. (California).

The current practice location address for Stephanie Eileen Latham is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-6400.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972194942
Provider Name
Stephanie Eileen Latham
Credential
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Phone Number
619-532-6400
Fax Number
Provider Enumeration Date
02/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
619-532-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101276764 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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