Organization
LATTA HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL LATTA (DIALYSIS TECHNICIAN)
(313) 932-0925
Entity
Organization
Contact information
Practice address
41959 CLINTON PINES DR, CLINTON TOWNSHIP, MI 48038-2206
(313) 932-0925
Mailing address
41959 CLINTON PINES DR, CLINTON TOWNSHIP, MI 48038-2206
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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