Individual
CAROLINE MUMIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31175 PORTSIDE DR, APT 10207, NOVI, MI 48377-4267
(989) 493-4934
Mailing address
31175 PORTSIDE DR, APT 10207, NOVI, MI 48377-4267
(989) 493-4934
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101164
MI
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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