Caren A South

NPI #1548025331 in Ecorse, Michigan

Provider Information

NPI Number: 1548025331
Entity Type: Individual
Name: Caren A South
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Feb 20, 2024
Last Updated: Feb 20, 2024

Practice Location

Address: 11 CHERRYGROVE ST
City: Ecorse
State: Michigan
ZIP Code: 48229-1710
Phone: (313) 676-1912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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