Latisha Vonette Colston

Practice location

Address

13101 Allen Rd, Southgate, MI 48195-2216

Phone

(734) 785-7700

Fax

(734) 287-1953

Registered specialties

Registry record

NPI

1790470706

Entity type

Individual

Sex (as registered)

Female

NPI issued

6 Apr 2023

Record last updated

6 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.