Individual
LATASIA Y WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1006 GRIGGS ST SE, GRAND RAPIDS, MI 49507-2702
(616) 617-9171
Mailing address
1006 GRIGGS ST SE, GRAND RAPIDS, MI 49507-2702
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
MI000009171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/06/2018
Last updated
06/16/2018
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