Provider Demographics
NPI:1427497221
Name:STEEN, LATONYA JACQUES (LPN)
Entity type:Individual
Prefix:MS
First Name:LATONYA
Middle Name:JACQUES
Last Name:STEEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11839 GABLE
Mailing Address - Street 2:
Mailing Address - City:DET
Mailing Address - State:MI
Mailing Address - Zip Code:48212
Mailing Address - Country:US
Mailing Address - Phone:313-695-2135
Mailing Address - Fax:
Practice Address - Street 1:11839 GABLE ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-2525
Practice Address - Country:US
Practice Address - Phone:313-295-6135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703092379164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse