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Individual
LATOYA PETERSON
Active
Individual
LATOYA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110953
MI
164W00000X
Licensed Practical Nurse
Primary
4704387871
MI
Other
Enumeration date
04/03/2014
Last updated
04/07/2026
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