Individual
LATREASE HITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4517 FRENCH RD, DETROIT, MI 48214-1592
(313) 808-3523
Mailing address
4517 FRENCH RD, DETROIT, MI 48214-1592
(313) 808-3523
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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