Individual
LATIFA TABOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
2270 NORWALK ST, HAMTRAMCK, MI 48212-3818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704352845
MI
Other
Enumeration date
10/08/2025
Last updated
10/09/2025
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