Individual
ALISA EDMONDS-HATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14230 W MCNICHOLS RD, DETROIT, MI 48235-3912
(313) 966-1199
(313) 966-4916
Mailing address
14230 W MCNICHOLS RD, DETROIT, MI 48235-3912
(313) 966-1199
(313) 966-4916
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704257796
MI
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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