Individual
MRS. HEIDE NIKKO LATONDRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
740 N MACOMB ST, MONROE, MI 48162-7813
(734) 240-8400
(734) 240-5363
Mailing address
740 N MACOMB ST, MONROE, MI 48162-7813
(734) 240-8400
(734) 240-5363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704179461
MI
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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