Provider Demographics
NPI:1316825664
Name:WRIGHT, LATONDEE LEVONNE
Entity type:Individual
Prefix:
First Name:LATONDEE
Middle Name:LEVONNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-3180
Mailing Address - Country:US
Mailing Address - Phone:313-334-8039
Mailing Address - Fax:
Practice Address - Street 1:1440 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-3180
Practice Address - Country:US
Practice Address - Phone:313-334-8039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker