Individual
MRS. ILENE S LATASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 475-4701
(248) 475-5777
Mailing address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 475-4701
(248) 475-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704070667
MI
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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