Kamara Stallworth

NPI #1033568654 in Macomb, Michigan

Provider Information

NPI Number: 1033568654
Entity Type: Individual
Name: Kamara Stallworth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 4, 2016
Last Updated: Jun 4, 2016

Practice Location

Address: 50470 CHIEF DR
City: Macomb
State: Michigan
ZIP Code: 48044-6317
Phone: (313) 445-6597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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