Individual
ASSANTI CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 VINEYARD AVE, BENTON HARBOR, MI 49022-4217
(269) 308-1183
Mailing address
409 VINEYARD AVE, BENTON HARBOR, MI 49022-4217
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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