Individual
LATASHA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W 7 MILE RD, DETROIT, MI 48203-1968
(313) 369-2600
Mailing address
24463 MILLSTREAM, NOVI, MI 48375-2971
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704309517
MI
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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