Individual
MRS. AGNESS LATRICE SHACKLEFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2566 TIFFIN ST, FLINT, MI 48504-7704
(810) 955-2902
Mailing address
2566 TIFFIN ST, FLINT, MI 48504-7704
(810) 955-2902
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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