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Kristy Latawiec
NPI 1871870469 · on the registry since 2011 · sole proprietor
Practice
- Address
- 34161 Yucaipa Blvd Ste E
Yucaipa, CA 92399 - Phone
- (909) 790-3343
- Fax
- (909) 580-5347
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California