Individual
MRS. LAJUNNA OBIAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18640 MACK AVE # 691, GROSSE POINTE FARMS, MI 48236-7700
(313) 485-3626
Mailing address
PO BOX 36691, GROSSE POINTE, MI 48236-0691
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109366
MI
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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