Individual
MS. DANIELLE LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2099 N LOVINGTON DR APT 204, TROY, MI 48083-4391
(313) 721-8745
Mailing address
2099 N LOVINGTON DR APT 204, TROY, MI 48083-4391
(313) 721-8745
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L350135488189
MI
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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