LATORYA ANN ELLISON

SOUTHGATE, MI
NPI1669963047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4351032547)
Enumeration Date2018-05-22
Last Update Date2022-07-29
Business Address
Dr. LATORYA ANN ELLISON MD
13667 EUREKA RD
SOUTHGATE, MI 48195-1332
Phone number: 734-256-0086
Mailing Address
Dr. LATORYA ANN ELLISON MD
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730