Individual
SANDRA YURI-MBELLI ASONGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
20836 HALL RD # 124, CLINTON TOWNSHIP, MI 48038-7227
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704335172
MI
363LP2300X
Primary Care Nurse Practitioner
4704335172
MI
Other
Enumeration date
07/13/2021
Last updated
01/08/2025
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