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Search › Michigan › 374J00000X

Latoya Bournes

NPI 1952007411 · on the registry since 2023

Practice

Address
6309 Mack Ave
Detroit, MI 48207
Phone
(313) 331-3435
Organisation at this address
Sonny Pharmacy Llc
Gateway Detroiteast
Gateway Detroiteast
Gateway-Detroit East
Gateway Detroit East Community Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
179

Registry record

Primary taxonomy
374J00000X
374J00000X
Also registered as
1041C0700X
171M00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-31

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