person
Mrs. Latisha Renee Gray, LPN
Licensed Practical Nurse in Detroit, Michigan
NPI 1821510116

Latisha Renee Gray is a Licensed Practical Nurse based in Detroit, MI. Latisha Renee Gray practices in Detroit, MI and has the professional credentials of LPN. The NPI Number for Latisha Renee Gray is 1821510116 and holds a License No. 4703103631 (Michigan).

The current practice location address for Latisha Renee Gray is 4646 John R St, Detroit, MI and can be reached out via phone at 313-576-2472.

Location: 4646 John R St, Detroit, MI, 48201-1916
person
Provider Profile Details
NPI Number
1821510116
Provider Name
Latisha Renee Gray
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4646 John R St, Detroit, MI, 48201-1916
Phone Number
313-576-2472
Fax Number
Provider Enumeration Date
07/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-2472
Fax Number
person
Provider Business Mailing Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-2472
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
4703103631 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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