Most Relevant Information
Provider Data
| NPI Number: | 1003679820 |
| Provider Name: | AMONTE EDWARD KERRY LATIMER LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 95620 |
Most Important Dates
| Enumeration Date: | 02/05/2024 |
| Last Updated: | 02/05/2024 |
Provider Practice Location
40887 BELLERAY AVE
MURRIETA
CA
925626349
Practice Location Phone/Fax
| Phone: | 3127090565 |
| Fax: |
Provider Mailing Location
40887 BELLERAY AVE
MURRIETA
CA
925626349
Provider Mailing Phone/Fax
| Phone: | 3127090565 |
| Fax: |