ANTWAYETTAE CONCIETTA LATHAM

DETROIT, MI
NPI1811878275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: MI  L350067122121)
Enumeration Date2025-09-10
Last Update Date2025-09-10
Business Address
-- ANTWAYETTAE CONCIETTA LATHAM
7386 WHEELER ST
DETROIT, MI 48210-1581
Phone number: 313-595-1102
Mailing Address
-- ANTWAYETTAE CONCIETTA LATHAM
7386 WHEELER ST
DETROIT, MI 48210-1581
Phone number: 313-595-1102