Individual
LATOYA SHAWNTE FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13678 COUNTRY WALK BLVD, VAN BUREN TWP, MI 48111-2351
(734) 624-8072
Mailing address
13678 COUNTRY WALK BLVD, VAN BUREN TWP, MI 48111-2351
(734) 624-8072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704263687
MI
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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