Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATONYA WALLACE-HARDIMAN, BA, MSA
Active Sole ProprietorLATONYA WALLACE-HARDIMAN, BA, MSA is a Pain Clinic healthcare provider located in DETROIT, Michigan. NPI 1053818039 is currently active in the NPPES registry. Verify at CMS.
Pain Clinic · DETROIT, MI
Registration Details
- NPI Number
- 1053818039
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2018 (8.3812944272203 yrs)
- Last Updated
- Dec 17, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5830 CONNER STDETROIT, MI, 482133458Browse MI providers · Browse ZIP 48213
- Phone
- 3139241456
- Fax
- 3136362290
- Primary Specialty
-
Pain Clinic
261QP3300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.