Individual
DIANE NICOLE CARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
(517) 780-9286
Mailing address
1018 HENRIETTA ST, JACKSON, MI 49203-2168
(208) 703-4511
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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