Individual provider · NPI-1
Latrina A Harris, IBCLC
Doula · Farmington Hills, MI
NPI number1053178400
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1053178400
- Entity type
- Individual (NPI-1)
- Name
- Latrina A Harris
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2024
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
| 172V00000X | Community Health Worker | – | MI | |
| 174N00000X | Lactation Consultant, Non-RN | L-312606 | MI |
Other names
- Latrina Conley (Former Name)
Practice location
25064 Independence Dr Apt 13301Farmington Hills, MI 48335-1786
Phone 586-354-3988
Mailing address
25064 Independence Dr Apt 13301Farmington Hills, MI 48335-1786
Phone 586-354-3988
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