Individual
AFOKOGHENE HEZEKIAH ODHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
PO BOX 800133, KANSAS CITY, MO 64180-0133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704330829
MI
Other
Enumeration date
07/20/2021
Last updated
02/18/2022
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