Individual
LATREASA KLANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9547 MAPLEWOOD, BRIDGMAN, MI 49106-0156
(269) 426-0870
Mailing address
PO BOX 156, BRIDGMAN, MI 49106-0156
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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