Most Relevant Information
Provider Data
| NPI Number: | 1003426248 |
| Provider Name: | SANTINO D COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2020 |
| Last Updated: | 08/03/2020 |
Provider Practice Location
8255 KENSINGTON BLVD APT 352
DAVISON
MI
484232963
Practice Location Phone/Fax
| Phone: | 8108144963 |
| Fax: |
Provider Mailing Location
5191 KELLY RD
FLINT
MI
485041011
Provider Mailing Phone/Fax
| Phone: | 8105690266 |
| Fax: |