Individual
MS. ALMEDINA HANTALASEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 LATHAM ST, HAMTRAMCK, MI 48212-3413
(810) 824-2850
Mailing address
9420 LATHAM, 9420 LATHAM O, HAMTRAMCK, MI 48212
(810) 824-2850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01101995
MOLINA HEALTHCARE
MI
05
—
051981
—
MI
Enumeration date
03/13/2019
Last updated
05/11/2026
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