Individual
EDNAH KWAMBOKA MAKORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
756 PIPESTONE ST # 2, BENTON HARBOR, MI 49022-4845
(269) 926-8535
Mailing address
332 E NAPIER AVE, BENTON HARBOR, MI 49022-7336
(269) 308-2925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704258890
MI
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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