Individual
LATAVA SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19752 HARTWELL ST, DETROIT, MI 48235-1172
(313) 742-4108
(313) 742-4108
Mailing address
24225 W 9 MILE RD # 8, SOUTHFIELD, MI 48033-3962
(313) 742-4108
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119529
MI
Other
Enumeration date
05/17/2018
Last updated
10/05/2025
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