NPI 1003426248

Santino D Cooper

Practitioner Homemaker Davison, MI

Practice location

Address: 8255 Kensington Blvd APT 352, Davison, MI 48423-2963
Phone: (810) 814-4963
Mailing address: 5191 Kelly Rd, Flint, MI 48504-1011

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1003426248
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2020
Record last updated: 3 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.