Latosha Buchanan

NPI #1205382447 in Highland Park, Michigan

Provider Information

NPI Number: 1205382447
Entity Type: Individual
Name: Latosha Buchanan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 28, 2016
Last Updated: Aug 28, 2016

Practice Location

Address: 149 TENNYSON ST
City: Highland Park
State: Michigan
ZIP Code: 48203-3560
Phone: (313) 725-0105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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