Search › Michigan › 164W00000X
Latoya Clark
NPI 1588425037 · on the registry since 2024
Practice
- Address
- 17301 Annchester Rd
Detroit, MI 48219 - Phone
- (313) 244-2991
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan