Most Relevant Information
Provider Data
| NPI Number: | 1003363789 |
| Provider Name: | LATOYA SHERESE BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2016 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
3351 36TH ST SE
KENTWOOD
MI
495122809
Practice Location Phone/Fax
| Phone: | 6169422522 |
| Fax: |
Provider Mailing Location
3016 WOODBRIDGE DR SE APT 203
KENTWOOD
MI
495121966
Provider Mailing Phone/Fax
| Phone: | 6168348383 |
| Fax: |