SAMANTHA MICHELLE STACK

FLINT, MI
NPI1841602166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: MI  4703119950)
Enumeration Date2014-05-21
Last Update Date2025-02-10
Business Address
Ms. SAMANTHA MICHELLE STACK
1044 GILBERT ST
FLINT, MI 48532-3527
Phone number: 810-422-7623
Mailing Address
Ms. SAMANTHA MICHELLE STACK
500 HANCOCK ST
SAGINAW, MI 48602-4224
Phone number: 989-272-0204