Individual
MRS. LATRICIA C STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 GREENFIELD RD # 262, DEARBORN, MI 48120-1212
(313) 447-6492
Mailing address
3319 GREENFIELD RD # 262, DEARBORN, MI 48120-1212
(313) 447-6492
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MIIA02012024824523
MI
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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