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NPI Code Detail

MEDICARE: MS. LATINA ALEXANDER CNA HHA MA

MEDICARE:  MS. LATINA  ALEXANDER  CNA HHA MA
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
1376K00000XNurse's Aide236771560292MI

General Provider Information

NPI Number : 1508843426
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LATINA ALEXANDER CNA HHA MA
Provider Business Mailing Address
First Line : 8660 HEYDEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48228-2949
Country : US
Telephone Number : 248-808-4753
Fax Number : 313-945-6238
Provider Business Practice Location Address
First Line : 8660 HEYDEN ST
Second Line :
City : DETROIT
State : MI
Zip : 48228-2949
Country : US
Telephone Number : 248-808-4753
Fax Number : 313-945-6238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 07/08/2007

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Directions to “ MS. LATINA ALEXANDER CNA HHA MA” Practice Location

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