Individual
MS. LATONYA JACQUES STEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11839 GABLE ST, HAMTRAMCK, MI 48212-2525
(313) 295-6135
Mailing address
11839 GABLE, DET, MI 48212
(313) 695-2135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092379
MI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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