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Latoya Chavonne Drake

Community Health Worker in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1093690224
StatusActive
Last updated in NPPESAug 7, 2025

Details

NPI
1093690224
Entity type
Individual (NPI-1)
Name
Latoya Chavonne Drake
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2025
Certification date
Aug 7, 2025
Last updated
Aug 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

2146 Moeller Ave
Ypsilanti, MI 48198-9237

Phone 734-450-7960

Mailing address

27551 Lorraine Ave
Warren, MI 48093-4928

Phone 248-506-9667

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