MR. Dalton Enrico Latham, NP- NURSE PRACTITION
NPI #1194291179 in Berrien Springs, Michigan
Provider Information
- NPI Number
- 1194291179
- Entity Type
- Individual
- Name
- MR. Dalton Enrico Latham, NP- NURSE PRACTITION
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- NP- NURSE PRACTITION
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 8521 KEPHART LANE
- City
- Berrien Springs
- State
- Michigan
- ZIP Code
- 49103
- Phone
- (269) 277-3260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Family — Family |
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