MARK A. LATTA

FORT DEFIANCE, AZ
NPI1609865872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: TX  2728TG)
Enumeration Date2005-10-19
Last Update Date2019-06-13
Business Address
MR. MARK A. LATTA O.D.
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8925
Mailing Address
MR. MARK A. LATTA O.D.
4140 MARLA DR NE
ALBUQUERQUE, NM 87109-1983
Phone number:
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