Organization
RECOVERY MOBILE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JORDANA LEANNE LATOZAS ACNP (CEO/OWNER)
(248) 563-5735
Entity
Organization
Contact information
Practice address
4706 PRODUCT DR STE 1, WIXOM, MI 48393-2071
(248) 567-2334
Mailing address
7111 DIXIE HWY # 142, CLARKSTON, MI 48346-2077
(248) 563-5735
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
12/03/2025
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