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Individual

NATHANIEL LATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
41959 CLINTON PINES DR, CLINTON TOWNSHIP, MI 48038-2206
(313) 932-0925
Mailing address
41959 CLINTON PINES DR, CLINTON TOWNSHIP, MI 48038-2206

Taxonomy

Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
MI

Other

Enumeration date
06/28/2024
Last updated
06/28/2024
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