Whalio Doctors

NPI 1023693579

Eddie Latimer

Practitioner Home Health Aide Moreno Valley, CA

Practice location

Address
13790 Rockport CT, Moreno Valley, CA 92553-6002
Phone
(310) 920-3400
Mailing address
1104 1/2 E 7th St # 217, Los Angeles, CA 90021-1504

Registered specialties

Home Health Aide Primary
Nursing Service Related Providers Taxonomy 374U00000X Licence 15101474 (CA)

Registry record

NPI
1023693579
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Mar 2021
Record last updated
16 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.