Individual
LATISHA M HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(586) 438-7729
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(586) 438-7729
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704255471
MI
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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