Individual
LATEISHA DENISE HERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30713 HIDDEN PINES LN, ROSEVILLE, MI 48066-7305
(313) 740-2724
Mailing address
30713 HIDDEN PINES LN, ROSEVILLE, MI 48066-7305
(313) 740-2724
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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