Individual
MRS. HAZEL SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
5050 BOSUNS WAY, A4, YPSILANTI, MI 48197-6708
(734) 829-8627
Mailing address
5050 BOSUNS WAY, A4, YPSILANTI, MI 48197-6708
(734) 829-8627
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
383716007
MI
376K00000X
Nurse's Aide
383716007
MI
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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