Individual
MS. SHELETIA LATRICE MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1043 COVINGTON DR, DETROIT, MI 48203-4043
(512) 888-8834
Mailing address
1043 COVINGTON DR, DETROIT, MI 48203-4043
(512) 888-8834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125550
MI
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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