Individual
LATIFAH WADEEDAH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
849 E GRAND BLVD, DETROIT, MI 48207-2551
(314) 925-7289
Mailing address
849 E GRAND BLVD, DETROIT, MI 48207-2551
(314) 925-7289
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
AL80070263
MI
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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