Individual
LATOYA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 725-7690
(313) 916-7911
Mailing address
259 MACK AVE, DETROIT, MI 48201-2427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601012869
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
02/24/2025
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