RYAN LATHAM

TALLAHASSEE, FL
NPI1316321201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: FL  AA307)
Enumeration Date2015-07-10
Last Update Date2015-09-24
Business Address
-- RYAN LATHAM
2173 CENTERVILLE PL STE A
TALLAHASSEE, FL 32308-8303
Phone number: 848-448-0603
Mailing Address
-- RYAN LATHAM
60 DEBORAH LN
HOWELL, NJ 07731-3504
Phone number: 848-448-0603
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