Individual
LATRICE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51000 MOTT RD TRLR 227, CANTON, MI 48188-2155
(734) 447-0347
Mailing address
51000 MOTT RD TRLR 227, CANTON, MI 48188-2155
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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