IndividualActive
Amanda Latham, LM, CPM
NPI 1629675772 · Midwife · Wildomar, CA
Provider details
- NPI number
- 1629675772
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- LM, CPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- LM618 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
33690 Almond St
Wildomar, CA 92595-8752
Phone: (951) 704-4145
Approximate (ZIP-level) locationGet directions
Mailing address
33690 Almond St
Wildomar, CA 92595-8752
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.