Individual
LAVERNE B CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8045 GRINNELL ST, DETROIT, MI 48213-1024
(313) 574-2162
Mailing address
8045 GRINNELL ST, DETROIT, MI 48213-1024
(313) 574-2162
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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