Individual
ISRAEL AGODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6474 ROSEMONT AVE, DETROIT, MI 48228-4754
(313) 441-5212
Mailing address
6474 ROSEMONT AVE, DETROIT, MI 48228-4754
(313) 441-5212
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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