Individual
MR. SAMUEL JOHN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20520 W CHICAGO ST, DETROIT, MI 48228-1529
(313) 421-2544
Mailing address
20520 W CHICAGO ST, DETROIT, MI 48228-1529
(313) 421-2544
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
06/27/2023
Last updated
11/21/2024
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