KELLY LATHAM
Physician Assistant at Bascom Ave, San Jose, CA

License number
California 52604
Category
Nursing
Type
Physician Assistant
Address
Address
751 S Bascom Ave, San Jose, CA 95128
Phone
(408) 885-5000
National Provider ID: 1700269917
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Kelly Latham
374 Dorothy Ave, Ventura, CA 93003
(805) 720-3666
Kelly Latham, age 40
1947 W Hopkins Dr, Hanford, CA 93230
(661) 393-7736
Kelly Latham
23288 Lone Pine Dr, Auburn, CA 95602
(530) 268-6515
Kelly Latham
PO Box 4633, Auburn, CA 95604
Kelly L Latham, age 50
23177 Rosewood Rd, Auburn, CA 95602
(530) 268-2592

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