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Individual

LADONNA HAVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
17104 BELL AVE, EASTPOINTE, MI 48021-1218
(313) 377-8545
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704293856
MI

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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