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NPI Code Detail

MEDICARE: MS. JULIE DENISE LATIMER LVN

MEDICARE: MS. JULIE DENISE LATIMER LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN285688CA
2164W00000XLicensed Practical NurseL0037140OK

General Provider Information

NPI Number : 1013005297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE DENISE LATIMER LVN
Provider Business Mailing Address
First Line : 1532 ROSALIND STREET
Second Line :
City : SACRAMENTO
State : CA
Zip : 95838
Country : US
Telephone Number : 916-840-7074
Fax Number : 707-439-3103
Provider Business Practice Location Address
First Line : 1532 ROSALIND ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95838-4535
Country : US
Telephone Number : 916-840-7074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 09/29/2017

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