Individual
PRECIOUS LATORIA CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3769 QUARTON RD, BLOOMFIELD, MI 48302-4058
(248) 894-1966
Mailing address
533 NORTH AVE NE, GRAND RAPIDS, MI 49503-1608
(616) 370-5965
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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