Individual
ANTOINETTE LATRESE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36262 EGAN ST, CLINTON TOWNSHIP, MI 48035-4419
(313) 618-6365
Mailing address
36262 EGAN ST, CLINTON TOWNSHIP, MI 48035-4419
(313) 618-6365
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704246386
MI
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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