Individual
LATRICE D GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8714 MACARTHUR BLVD BLDG 13A, YPSILANTI, MI 48198-3384
(734) 291-3240
Mailing address
276 TAFT ST, YPSILANTI, MI 48197-4727
(734) 291-3240
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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