Mallie Fernacia Latham is an addiction (substance use disorder) counselor in Vallejo, CA. Mallie Fernacia Latham NPI is 1881879534. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
325 OHIO ST
VALLEJO, CA
ZIP 94590-052
Phone: (415) 928-7800
Fax: (415) 928-3710
The enumeration date for this NPI number is 12/31/2007 and was last updated on 1/19/2016.