Individual
DARRON A TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
4810 ATKINS RD, CLYDE, MI 48049-4505
(810) 388-8005
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
T615135071587
MI
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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