Latonya Wallace-hardiman, BA, MSA is a pain clinic center in Detroit, MI. Latonya Wallace-hardiman, BA, MSA NPI is 1053818039. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5830 CONNER ST
DETROIT, MI
ZIP 48213-458
Phone: (313) 924-1456
Fax: (313) 636-2290
The enumeration date for this NPI number is 4/6/2018 and was last updated on 12/17/2020.