Individual
ANTWAYETTAE CONCIETTA LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7386 WHEELER ST, DETROIT, MI 48210-1581
(313) 595-1102
Mailing address
7386 WHEELER ST, DETROIT, MI 48210-1581
(313) 595-1102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L350067122121
MI
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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