Individual
LATRICE CRISPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17777 EGO AVE, EASTPOINTE, MI 48021-3115
(313) 808-1050
Mailing address
17777 EGO AVE, EASTPOINTE, MI 48021-3115
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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