Individual
LATOREYA DENISE TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16935 EDLOYTOM WAY APT 346, CLINTON TOWNSHIP, MI 48038-5459
(313) 819-6069
Mailing address
16935 EDLOYTOM WAY APT 346, CLINTON TOWNSHIP, MI 48038-5459
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230010426730205
MI
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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