Healthcare Provider Details

I. General information

NPI: 1558293456
Provider Name (Legal Business Name): CHUQINITA ANTOINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHIQUITA ANTOINE

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 AUBURN RD UNIT 215121
AUBURN HILLS MI
48321-7743
US

IV. Provider business mailing address

2960 AUBURN RD UNIT 215121
AUBURN HILLS MI
48321-7743
US

V. Phone/Fax

Practice location:
  • Phone: 650-218-7540
  • Fax:
Mailing address:
  • Phone: 650-218-7540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberMI05052026580989
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: