JACOB ISAAC LATHAM

BOLIVAR, TN
NPI1235371717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-03-31
Last Update Date2009-03-31
Business Address
JACOB ISAAC LATHAM BS
10710 OLD HIGHWAY 64
BOLIVAR, TN 38008-3587
Phone number: 731-658-6113
Mailing Address
JACOB ISAAC LATHAM BS
10710 OLD HIGHWAY 64
BOLIVAR, TN 38008-3587
Phone number: 731-658-6113