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Individual

CHINWE CAROL UGONNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 966-1165
Mailing address
42494 REDFERN ST, CANTON, MI 48187-3452
(248) 310-7928

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
470426105
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704264105
MI

Other

Enumeration date
12/27/2010
Last updated
03/21/2012
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