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Individual

LATRICE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22425 BEECHWOOD AVE, EASTPOINTE, MI 48021-3819
(313) 910-1821
(586) 218-8228
Mailing address
22425 BEECHWOOD AVE, EASTPOINTE, MI 48021-3819
(313) 910-1821
(586) 218-8228

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MI

Other

Enumeration date
08/11/2016
Last updated
08/11/2016
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