MICAH LATHAM

MALVERN, AR
NPI1730783606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  213314)
Enumeration Date2020-11-23
Last Update Date2020-11-23
Business Address
Mr. MICAH LATHAM APRN-CNP
1208 BROWNWOOD ST
MALVERN, AR 72104-2202
Phone number: 540-446-9297
Mailing Address
Mr. MICAH LATHAM APRN-CNP
1208 BROWNWOOD ST
MALVERN, AR 72104-2202
Phone number:
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