person
Latonya Wallace-hardiman, BA,MSA
Pain Clinic/Center in Detroit, Michigan
NPI 1053818039

Latonya Wallace-hardiman is a Pain Clinic/Center based in Detroit, MI and is specialized in Pain. Latonya Wallace-hardiman practices in Detroit, MI and has the professional credentials of BA,MSA. The NPI Number for Latonya Wallace-hardiman is 1053818039 and holds a License No. (Michigan).

The current practice location address for Latonya Wallace-hardiman is 5830 Conner St, Detroit, MI and can be reached out via phone at 313-924-1456 and via fax at 313-636-2290.

Location: 5830 Conner St, Detroit, MI, 48214-8034
person
Provider Profile Details
NPI Number
1053818039
Provider Name
Latonya Wallace-hardiman
Credential
BA,MSA
Provider Entity Type
Individual
Gender
Female
Address
5830 Conner St, Detroit, MI, 48214-8034
Phone Number
313-924-1456
Fax Number
313-636-2290
Provider Enumeration Date
04/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5830 Conner St
City
State
Zip
48213-3458
Phone Number
313-924-1456
Fax Number
313-636-2290
person
Provider Business Mailing Address Details
Address
5830 Conner St
City
State
Zip
48213-3458
Phone Number
313-924-1456
Fax Number
313-636-2290
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
()
Definition
Definition to come...
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