KRISTIAN LATHAM

PHILADELPHIA, PA
NPI1912302746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: PA  25983601)
Enumeration Date2014-10-22
Last Update Date2014-10-22
Business Address
-- KRISTIAN LATHAM
327 RACE ST APT 2B
PHILADELPHIA, PA 19106-1834
Phone number: 609-304-5302
Mailing Address
-- KRISTIAN LATHAM
327 RACE ST APT 2B
PHILADELPHIA, PA 19106-1834
Phone number: 609-304-5302