AUDREY JOANN WALLACE LATHAM

AMARILLO, TX
NPI1710518071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  AP144794)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: TX  AP144794)
Enumeration Date2020-01-27
Last Update Date2023-11-29
Business Address
AUDREY JOANN WALLACE LATHAM FNP, ENP
1600 WALLACE BLVD
AMARILLO, TX 79106-1799
Phone number: 806-212-5750
Mailing Address
AUDREY JOANN WALLACE LATHAM FNP, ENP
1600 WALLACE BLVD
AMARILLO, TX 79106-1799
Phone number: 806-212-5750