Amanda Latham, LM, CPM
Midwife in Wildomar, CA. Individual provider (NPI-1).
NPI number1629675772
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1629675772
- Entity type
- Individual (NPI-1)
- Name
- Amanda Latham
- Credential
- LM, CPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | LM618 | CA | Yes |
Practice location
33690 Almond StWildomar, CA 92595-8752
Phone 951-704-4145
Mailing address
33690 Almond StWildomar, CA 92595-8752
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