Individual
MS. LATARION CHANNEL PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2986 SPRINGLE ST, DETROIT, MI 48215-2441
(419) 442-9152
Mailing address
2986 SPRINGLE ST, DETROIT, MI 48215-2441
(419) 442-9152
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123338
MI
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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