Individual
LATONYA ANTOINETTE RIDDLE-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST STE 6A&6B, DETROIT, MI 48201-2153
(313) 745-4627
(313) 966-7305
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9006
(313) 966-7305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301092759
MI
208000000X
Pediatrics Physician
4301092759
MI
Other
Enumeration date
07/18/2008
Last updated
10/19/2021
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