Individual
ANTHONY CAREY FIORAVANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14960 E PARK ST, CAPAC, MI 48014-3177
(810) 395-4343
(810) 395-2985
Mailing address
818 POPLAR ST, PORT HURON, MI 48060-3650
(810) 985-7297
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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