Individual
BUNNITA MARIE OUWINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
4845 SNYDER AVE, FREMONT, MI 49412-9502
(231) 924-6920
Mailing address
4845 SNYDER AVENUE, FREMONT, MI 49412
(231) 924-6920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6301012971
MI
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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