Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latonya Wallace-Hardiman, BA, MSA

Individual provider Pain Clinic/Center · NPI 1053818039

Latonya Wallace-Hardiman, BA, MSA is a Pain Clinic/Center in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

5830 Conner St
Detroit, MI 48213-3458
Phone: (313) 924-1456
Fax: (313) 636-2290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X

Record details

NPI number1053818039
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , MSA
Sole proprietorYes
NPI enumeratedApril 6, 2018
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020

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