CARLY ALEXANDRA LATTA

MARATHON, NY
NPI1700339074
Former NameCARLY SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  340806)
Enumeration Date2016-08-03
Last Update Date2021-03-22
Business Address
Mrs. CARLY ALEXANDRA LATTA FNP
24 ALBRO RD
MARATHON, NY 13803-2808
Phone number: 607-753-3797
Mailing Address
Mrs. CARLY ALEXANDRA LATTA FNP
85 SOUTH WEST STREET
HOMER, NY 13077
Phone number: 607-753-3797
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