Individual
LATONYA RENAY TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1665 VICTORIA LN, LINCOLN PARK, MI 48146-1778
(313) 344-4100
Mailing address
1665 VICTORIA LN, LINCOLN PARK, MI 48146-1778
(313) 344-4100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103542
MI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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