person
Marketta Latese Hardaway
Adult Psychiatric/Mental Health Registered Nurse in Detroit, Michigan
NPI 1184302531

Marketta Latese Hardaway is an Adult Psychiatric/Mental Health Registered Nurse based in Detroit, MI and is specialized in Psychiatric/Mental Health, Adult. Marketta Latese Hardaway practices in Detroit, MI. The NPI Number for Marketta Latese Hardaway is 1184302531 and holds a License No. 4704368254 (Michigan).

The current practice location address for Marketta Latese Hardaway is 2925 Russell St, Detroit, MI and can be reached out via phone at 313-396-5300. You can also correspond with Marketta Latese Hardaway through the mailing address at 2925 RUSSELL ST, DETROIT, MI - 48207-4825 (mailing address contact number: 313-396-5300).

Location: 2925 Russell St, Detroit, MI, 48207-4825
person
Provider Profile Details
NPI Number
1184302531
Provider Name
Marketta Latese Hardaway
Credential
Provider Entity Type
Individual
Gender
Female
Address
2925 Russell St, Detroit, MI, 48207-4825
Phone Number
313-396-5300
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2925 Russell St
City
State
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
person
Provider Business Mailing Address Details
Address
2925 Russell St
City
State
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
4704368254 (Michigan)
Definition
Definition to come...
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