SHANELL KEHAULANI LATTA

KALISPELL, MT
NPI1366812067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MT  SLP-SP-TMP-4108)
Enumeration Date2015-10-07
Last Update Date2015-10-07
Business Address
Mrs. SHANELL KEHAULANI LATTA M.S.
22 VELVA DR
KALISPELL, MT 59901-6326
Phone number: 406-212-8670
Mailing Address
Mrs. SHANELL KEHAULANI LATTA M.S.
22 VELVA DR
KALISPELL, MT 59901-6326
Phone number: 406-212-8670