Individual
LA'TISA M WIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
860 SUMMERTIME AVE SE, KENTWOOD, MI 49508-7524
(616) 240-5798
Mailing address
860 SUMMERTIME AVE SE, KENTWOOD, MI 49508-7524
(616) 240-5798
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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