Individual
ANTONIO CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7111 W OUTER DR, DETROIT, MI 48235-3168
(313) 808-5673
Mailing address
7111 W OUTER DR, DETROIT, MI 48235-3168
(313) 808-5673
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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