| Doctor Name: | MRS. LATONYA ROCHELLE CONNALLY |
| NPI Number: | 1497193882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 4704270676 |
| Business Practice Address: | 11447 Jos Campau St Hamtramck, MI - 482123040 |
| Business Phone Number: | 3133651368 |
| Business Fax Number: | |
| Mailing Address: | 325 Moross Rd, GROSSE POINTE FARMS |
| State: | MI |
| Postal Code: | 482362911 |
| Phone Number: | 3138863870 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2013 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 4704270676 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |