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NPI Code Detail

MEDICARE: MS. LATRICE LOUISE HOOD R.N.

MEDICARE:  MS. LATRICE LOUISE HOOD  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704184110MI

General Provider Information

NPI Number : 1336351873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LATRICE LOUISE HOOD R.N.
Provider Business Mailing Address
First Line : 299 LAMIER DRIVE
Second Line :
City : WHITE LAKE
State : MI
Zip : 48383-3726
Country : US
Telephone Number : 248-889-7896
Fax Number :
Provider Business Practice Location Address
First Line : 299 LAMIER DRIVE
Second Line :
City : WHITE LAKE
State : MI
Zip : 48383-3726
Country : US
Telephone Number : 248-889-7896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ MS. LATRICE LOUISE HOOD R.N.” Practice Location

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