KELLY REBECCA LATTA

HILTON HEAD, SC
NPI1932579836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0005929)
Enumeration Date2015-10-05
Last Update Date2019-02-06
Business Address
KELLY REBECCA LATTA PA
15 MOSS CREEK VLG
HILTON HEAD, SC 29926-1105
Phone number: 843-681-5077
Mailing Address
KELLY REBECCA LATTA PA
11350 MCCORMICK RD EXECUTIVE PLAZA 1, SUITE 501
HUNT VALLEY, MD 21031-1002
Phone number: 410-787-8315
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