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Individual

LATANYA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
51417 WESTEND DR, SHELBY TOWNSHIP, MI 48315-4513
(586) 846-6834
Mailing address
51417 WESTEND DR, SHELBY TOWNSHIP, MI 48315-4513
(586) 846-6834

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MI

Other

Enumeration date
09/25/2025
Last updated
09/25/2025
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