Individual
SAMARA DAISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
3893 YORKSHIRE RD, DETROIT, MI 48224-2325
(678) 753-4110
Mailing address
3893 YORKSHIRE RD, DETROIT, MI 48224-2325
(678) 753-4110
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW
MI
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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