Individual
TONYA LADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16832 VERONICA AVE, EASTPOINTE, MI 48021-4511
(313) 282-4637
Mailing address
16832 VERONICA AVE, EASTPOINTE, MI 48021-4511
(313) 282-4637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114162
MI
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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