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Individual

MRS. JANE DOROTHY LATESSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
6700 MIDDLEBELT RD, ROMULUS, MI 48174-2039
(734) 629-5000
Mailing address
6700 MIDDLEBELT RD, ROMULUS, MI 48174-2039
(734) 629-5000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704123443
MI

Other

Enumeration date
04/23/2014
Last updated
04/23/2014
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