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Individual

LATRENIA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2302 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-5372
(574) 334-3290
Mailing address
2302 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-5372
(574) 334-3290

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
374U00000X
Home Health Aide
IN

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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