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Individual

MS. JULIANA MWOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Mailing address
3212 HICKORY RD STE B, MISHAWAKA, IN 46545-8863
(574) 251-0498
(574) 251-0068

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28144705A
IN
363L00000X
Nurse Practitioner
Primary
4704345741
IN
364SA2200X
Adult Health Clinical Nurse Specialist
2009006407
IN

Other

Enumeration date
01/12/2011
Last updated
11/19/2024
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