Individual
LATESHA MONIQUE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12237 MCKINLEY RD, RODNEY, MI 49342-9701
(231) 468-4242
Mailing address
12237 MCKINLEY RD, RODNEY, MI 49342-9701
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084328936
—
MI
Enumeration date
09/04/2018
Last updated
09/04/2018
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